ELLEN SUE LEAVITT Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070000669

License Status

INACTIVE

Business

First Name

ELLEN SUE

Last Name

LEAVITT

Business Name

ELLEN SUE LEAVITT

Original Issue Date

01/01/1998

Expiration Date

09/30/1988

City

WILMETTE

State

Zip

60091

County

COOK

Ever Disciplined

LastModifiedDate

10/14/2005