ELLEN RAIDER PERLOW - Physical Therapist License in Georgia | # 070003225

ELLEN RAIDER PERLOW

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070003225

License Status

NOT RENEWED

Business

N

First Name

ELLEN RAIDER

Last Name

PERLOW

Business Name

ELLEN RAIDER PERLOW

Original Issue Date

07/28/1980

Effective Date

07/28/1980

Expiration Date

09/30/1994

State

GA

Ever Disciplined

N

LastModifiedDate

10/14/2005