JOHANN H ELLERBRAKE - Physical Therapist License in Illinois | # 070001726

JOHANN H ELLERBRAKE

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070001726

License Status

NOT RENEWED

Business

N

First Name

JOHANN H

Last Name

ELLERBRAKE

Business Name

JOHANN H ELLERBRAKE

Original Issue Date

10/03/1973

Effective Date

10/03/1973

Expiration Date

09/30/1992

State

IL

Ever Disciplined

N

LastModifiedDate

10/14/2005