ELISSA RUTH BALLAS Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070021502

License Status

NOT RENEWED

Business

First Name

ELISSA

Middle

RUTH

Last Name

BALLAS

Business Name

ELISSA RUTH BALLAS

Original Issue Date

08/10/2015

Effective Date

10/02/2018

Expiration Date

09/30/2020

City

VACAVILLE

State

Zip

95687

Ever Disciplined

LastModifiedDate

01/14/2021