KERMALENE M ELLSWORTH - Physical Therapist License in Illinois | # 160004012

KERMALENE M ELLSWORTH

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160004012

License Status

NOT RENEWED

Business

N

First Name

KERMALENE

Middle

M

Last Name

ELLSWORTH

Business Name

KERMALENE M ELLSWORTH

Original Issue Date

02/13/2002

Effective Date

10/02/2023

Expiration Date

09/30/2025

State

IL

Ever Disciplined

N

LastModifiedDate

04/07/2026