ALFRED R ELLSWORTH - Physical Therapist License in Illinois | # 070024499

ALFRED R ELLSWORTH

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070024499

License Status

ACTIVE

Business

N

First Name

ALFRED

Middle

R

Last Name

ELLSWORTH

Business Name

ALFRED R ELLSWORTH

Original Issue Date

08/15/2019

Effective Date

09/02/2024

Expiration Date

09/30/2026

State

IL

Ever Disciplined

N

LastModifiedDate

09/02/2024