ELLEN HUMPHREY Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070007937

License Status

ACTIVE

Business

First Name

ELLEN

Last Name

HUMPHREY

Business Name

ELLEN HUMPHREY

Original Issue Date

01/12/1994

Effective Date

10/23/2024

Expiration Date

09/30/2026

City

LAKE FOREST

State

Zip

60045

County

LAKE

Ever Disciplined

LastModifiedDate

10/23/2024