ELLEN A MADSEN - Physical Therapist License in Illinois | # 070005413

ELLEN A MADSEN

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070005413

License Status

INACTIVE

Business

N

First Name

ELLEN A

Last Name

MADSEN

Business Name

ELLEN A MADSEN

Original Issue Date

03/12/1988

Effective Date

09/14/2020

Expiration Date

09/30/2022

State

IL

Ever Disciplined

N

LastModifiedDate

09/10/2022