STEPHEN WAYNE ELAM Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070011889

License Status

NOT RENEWED

Business

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

City

DOWNS

State

Zip

61736

County

DE WITT

Ever Disciplined

LastModifiedDate

10/17/2005