Stephanie Diane Moore
InactiveIllinois license 096002502
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 096002502
- Status
- Inactive
- First issued
- August 29, 2007
- Expired
- May 31, 2010
- License holder
- Stephanie Diane Moore
- Entity type
- Individual
Classifications
- Licensed Athletic Trainer Therapy & Rehabilitation
More from the license record
- Current term began
- 05/20/2008
Contact
Lexington, KY 40517
Kentucky County