ELIZABETH W Y LEAVELL Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070005073

License Status

NOT RENEWED

Business

First Name

ELIZABETH W Y

Last Name

LEAVELL

Business Name

ELIZABETH W Y LEAVELL

Original Issue Date

03/28/1987

Effective Date

03/28/1987

Expiration Date

09/30/2004

City

GODFREY

State

Zip

62035

County

MADISON

Ever Disciplined

LastModifiedDate

10/17/2005