ELENA R STOUT Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070021663

License Status

NOT RENEWED

Business

First Name

ELENA

Middle

Last Name

STOUT

Business Name

ELENA R STOUT

Original Issue Date

08/13/2015

Effective Date

07/30/2020

Expiration Date

09/30/2022

City

CHICAGO

State

Zip

60613

County

COOK

Ever Disciplined

LastModifiedDate

11/28/2022