ALFRED R ELLSWORTH Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070024499

License Status

ACTIVE

Business

First Name

ALFRED

Middle

Last Name

ELLSWORTH

Business Name

ALFRED R ELLSWORTH

Original Issue Date

08/15/2019

Effective Date

09/02/2024

Expiration Date

09/30/2026

City

PARK RIDGE

State

Zip

60068

Ever Disciplined

LastModifiedDate

09/02/2024