MARY K MOE Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160001273

License Status

NOT RENEWED

Business

First Name

MARY K

Last Name

MOE

Business Name

MARY K MOE

Original Issue Date

01/02/1992

Effective Date

12/03/2021

Expiration Date

09/30/2023

City

JANESVILLE

State

Zip

53545

County

WISCONSIN

Ever Disciplined

LastModifiedDate

02/02/2024