JOHANN H ELLERBRAKE Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070001726

License Status

NOT RENEWED

Business

First Name

JOHANN H

Last Name

ELLERBRAKE

Business Name

JOHANN H ELLERBRAKE

Original Issue Date

10/03/1973

Effective Date

10/03/1973

Expiration Date

09/30/1992

City

LEBANON

State

Zip

62254

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/14/2005