STEPHANIE R ELLSWORTH - Physical Therapist License in Illinois | # 160003834

STEPHANIE R ELLSWORTH

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160003834

License Status

INACTIVE

Business

N

First Name

STEPHANIE

Middle

R

Last Name

ELLSWORTH

Business Name

STEPHANIE R ELLSWORTH

Original Issue Date

05/03/2001

Effective Date

05/03/2001

Expiration Date

09/30/2005

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005