Pennsylvania
Department of State
DERIN LEW MOORE
Physical Therapist Assistant
License number
TE002976L
Date granted
08/03/1998
Date expires
12/31/2016
Class
Physical Therapist Assistant
Status
Active
Address
roaring spring PA 16673
palicensing.org
ID 17302596
LAST UPDATED 2024-05-19 03:41:58 UTC
LAST UPDATED 2024-05-19 03:41:58 UTC
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