ELLEN R MASSEY Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070003257

License Status

NOT RENEWED

Business

First Name

ELLEN R

Last Name

MASSEY

Business Name

ELLEN R MASSEY

Original Issue Date

08/28/1980

Effective Date

08/28/1980

Expiration Date

09/30/1984

City

HIGHLAND PARK

State

Zip

60035

County

LAKE

Ever Disciplined

LastModifiedDate

10/14/2005