MARY ELLYN IVES Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070000637

License Status

INACTIVE

Business

First Name

MARY ELLYN

Last Name

IVES

Business Name

MARY ELLYN IVES

Original Issue Date

01/01/1998

Expiration Date

09/30/2004

City

LAKE FOREST

State

Zip

60045

County

LAKE

Ever Disciplined

LastModifiedDate

09/01/2006