ELLY MICHELLE NELSON Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070013993

License Status

ACTIVE

Business

First Name

ELLY

Middle

MICHELLE

Last Name

NELSON

Business Name

ELLY MICHELLE NELSON

Original Issue Date

06/29/2004

Effective Date

09/14/2024

Expiration Date

09/30/2026

City

BROOKPORT

State

Zip

62910

County

MASSAC

Ever Disciplined

LastModifiedDate

09/14/2024