ELLIE M JOHNSON Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070025885

License Status

ACTIVE

Business

First Name

ELLIE

Middle

Last Name

JOHNSON

Business Name

ELLIE M JOHNSON

Original Issue Date

05/22/2021

Effective Date

09/30/2024

Expiration Date

09/30/2026

City

VIRDEN

State

Zip

62690

Ever Disciplined

LastModifiedDate

09/30/2024