DANE MERRILL ELLIOTT Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160003790

License Status

INACTIVE

Business

First Name

DANE

Middle

MERRILL

Last Name

ELLIOTT

Business Name

DANE MERRILL ELLIOTT

Original Issue Date

01/12/2001

Effective Date

07/05/2007

Expiration Date

09/30/2009

City

HERRIN

State

Zip

62948

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

07/09/2009