BRIANA GRACE ELLIS - Physical Therapist License in Wisconsin | # 070021945

BRIANA GRACE ELLIS

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070021945

License Status

INACTIVE

Business

N

First Name

BRIANA

Middle

GRACE

Last Name

ELLIS

Business Name

BRIANA GRACE ELLIS

Original Issue Date

12/08/2015

Effective Date

12/08/2015

Expiration Date

09/30/2016

State

WI

Ever Disciplined

N

LastModifiedDate

07/06/2016