KIMBERLY H JELLISON - Physical Therapist License in Maine | # 070014467

KIMBERLY H JELLISON

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070014467

License Status

NOT RENEWED

Business

N

First Name

KIMBERLY

Middle

H

Last Name

JELLISON

Business Name

KIMBERLY H JELLISON

Original Issue Date

06/14/2005

Effective Date

06/14/2005

Expiration Date

09/30/2006

State

ME

Ever Disciplined

N

LastModifiedDate

11/08/2006