ELLEN R SIMON Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070004124

License Status

NOT RENEWED

Business

First Name

ELLEN R

Last Name

SIMON

Business Name

ELLEN R SIMON

Original Issue Date

12/20/1983

Effective Date

12/20/1983

Expiration Date

09/30/1986

City

CHICAGO

State

Zip

60613

County

COOK

Ever Disciplined

LastModifiedDate

10/14/2005