DANE MERRILL ELLIOTT Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070016699

License Status

ACTIVE

Business

First Name

DANE

Middle

MERRILL

Last Name

ELLIOTT

Business Name

DANE MERRILL ELLIOTT

Original Issue Date

09/15/2008

Effective Date

08/20/2024

Expiration Date

09/30/2026

City

HERRIN

State

Zip

62948

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

08/20/2024