DOUGLAS D ELY Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070001465

License Status

NOT RENEWED

Business

First Name

DOUGLAS D

Last Name

ELY

Business Name

DOUGLAS D ELY

Original Issue Date

01/01/1998

Expiration Date

09/30/2004

City

WEST DES MOINES

State

Zip

50265

County

IOWA

Ever Disciplined

LastModifiedDate

10/17/2005