MICHAEL D ELLIS Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070012023

License Status

ACTIVE

Business

First Name

MICHAEL

Middle

Last Name

ELLIS

Business Name

MICHAEL D ELLIS

Original Issue Date

08/03/2000

Effective Date

08/05/2024

Expiration Date

09/30/2026

City

WESTERN SPRINGS

State

Zip

60558

County

COOK

Ever Disciplined

LastModifiedDate

08/05/2024