PENELOPE SUE ELAM Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070012129

License Status

NOT RENEWED

Business

First Name

PENELOPE

Middle

SUE

Last Name

ELAM

Business Name

PENELOPE SUE ELAM

Original Issue Date

09/25/2000

Effective Date

09/25/2000

Expiration Date

09/30/2002

City

DOWNS

State

Zip

61736

County

DE WITT

Ever Disciplined

LastModifiedDate

10/17/2005