TERRY J ELLIS - Physical Therapist License in Wisconsin | # 160002029

TERRY J ELLIS

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160002029

License Status

NOT RENEWED

Business

N

First Name

TERRY J

Last Name

ELLIS

Business Name

TERRY J ELLIS

Original Issue Date

10/01/1994

Effective Date

10/01/1994

Expiration Date

09/30/2001

State

WI

Ever Disciplined

N

LastModifiedDate

10/17/2005