MARTHA L ELLSWORTH Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070002026

License Status

INACTIVE

Business

First Name

MARTHA L

Last Name

ELLSWORTH

Business Name

MARTHA L ELLSWORTH

Original Issue Date

06/11/1975

Effective Date

07/08/2016

Expiration Date

09/30/2018

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

07/07/2018