JAEZPR ELLYS - Physical Therapist License in Oregon | # 160008758

JAEZPR ELLYS

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160008758

License Status

NOT RENEWED

Business

N

First Name

JAEZPR

Last Name

ELLYS

Business Name

JAEZPR ELLYS

Original Issue Date

10/21/2019

Effective Date

06/28/2023

Expiration Date

09/30/2025

State

OR

Ever Disciplined

N

LastModifiedDate

12/30/2025