MICHAEL GENE ELLIS Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070003859

License Status

INACTIVE

Business

First Name

MICHAEL GENE

Last Name

ELLIS

Business Name

MICHAEL GENE ELLIS

Original Issue Date

02/08/1983

Effective Date

02/08/1983

Expiration Date

09/30/1984

City

ST PETERSBURG

State

Zip

33712

County

FLORIDA

Ever Disciplined

LastModifiedDate

10/14/2005