DOLORES GRACE BO ELLIS Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070000459

License Status

INACTIVE

Business

First Name

DOLORES GRACE BO

Last Name

ELLIS

Business Name

DOLORES GRACE BO ELLIS

Original Issue Date

01/01/1998

Expiration Date

09/30/1988

City

SOUTHPORT

State

Zip

06490

County

CONNECTICUT

Ever Disciplined

LastModifiedDate

10/14/2005