STEPHEN WAYNE ELAM - Physical Therapist License in Illinois | # 070011889

STEPHEN WAYNE ELAM

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070011889

License Status

NOT RENEWED

Business

N

First Name

STEPHEN

Middle

WAYNE

Last Name

ELAM

Business Name

STEPHEN WAYNE ELAM

Original Issue Date

04/19/2000

Effective Date

04/19/2000

Expiration Date

09/30/2002

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005