ELLEN H BLOOMFIELD Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070003709

License Status

INACTIVE

Business

First Name

ELLEN H

Last Name

BLOOMFIELD

Business Name

ELLEN H BLOOMFIELD

Original Issue Date

08/25/1982

Effective Date

08/25/1982

Expiration Date

09/30/1984

City

SKOKIE

State

Zip

60076

County

COOK

Ever Disciplined

LastModifiedDate

10/14/2005