ELENA MARIE GRAY Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070016435

License Status

NOT RENEWED

Business

First Name

ELENA

Middle

MARIE

Last Name

GRAY

Business Name

ELENA MARIE GRAY

Original Issue Date

06/16/2008

Effective Date

09/16/2014

Expiration Date

09/30/2016

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Ever Disciplined

LastModifiedDate

11/26/2016