KATHRYN A ELLSWORTH Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070010860

License Status

INACTIVE

Business

First Name

KATHRYN

Middle

Last Name

ELLSWORTH

Business Name

KATHRYN A ELLSWORTH

Original Issue Date

10/05/1998

Effective Date

08/10/2012

Expiration Date

09/30/2014

City

DAVENPORT

State

Zip

52803

County

IOWA

Ever Disciplined

LastModifiedDate

07/03/2014