SARA R ELLSWORTH Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070011471

License Status

NOT RENEWED

Business

First Name

SARA

Middle

Last Name

ELLSWORTH

Business Name

SARA R ELLSWORTH

Original Issue Date

09/13/1999

Effective Date

09/13/1999

Expiration Date

09/30/2002

City

CHICAGO

State

Zip

60647

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005