ELLEN A MADSEN Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070005413

License Status

INACTIVE

Business

First Name

ELLEN A

Last Name

MADSEN

Business Name

ELLEN A MADSEN

Original Issue Date

03/12/1988

Effective Date

09/14/2020

Expiration Date

09/30/2022

City

MORTON GROVE

State

Zip

60053

County

COOK

Ever Disciplined

LastModifiedDate

09/10/2022