LISA S ELLIS - Physical Therapist License in Maine | # 070010922

LISA S ELLIS

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070010922

License Status

NOT RENEWED

Business

N

First Name

LISA

Middle

S

Last Name

ELLIS

Business Name

LISA S ELLIS

Original Issue Date

10/27/1998

Effective Date

10/27/1998

Expiration Date

09/30/2002

State

ME

Ever Disciplined

N

LastModifiedDate

10/17/2005