PENELOPE SUE ELAM - Physical Therapist License in Illinois | # 070012129

PENELOPE SUE ELAM

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070012129

License Status

NOT RENEWED

Business

N

First Name

PENELOPE

Middle

SUE

Last Name

ELAM

Business Name

PENELOPE SUE ELAM

Original Issue Date

09/25/2000

Effective Date

09/25/2000

Expiration Date

09/30/2002

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005