CLARA N ELLIS Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160001499

License Status

ACTIVE

Business

First Name

CLARA

Middle

Last Name

ELLIS

Business Name

CLARA N ELLIS

Original Issue Date

09/10/1992

Effective Date

09/15/2025

Expiration Date

09/30/2027

City

CARBONDALE

State

Zip

62902

County

JACKSON

Ever Disciplined

LastModifiedDate

09/15/2025