AMRE A ELLEBOUDI Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070005416

License Status

INACTIVE

Business

First Name

AMRE A

Last Name

ELLEBOUDI

Business Name

AMRE A ELLEBOUDI

Original Issue Date

03/12/1988

Effective Date

09/30/2004

Expiration Date

09/30/2006

City

OAK LAWN

State

Zip

60453

County

COOK

Ever Disciplined

LastModifiedDate

07/20/2007