MICHELLE R ELLER Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160004114

License Status

INACTIVE

Business

First Name

MICHELLE

Middle

Last Name

ELLER

Business Name

MICHELLE R ELLER

Original Issue Date

10/18/2002

Effective Date

09/30/2009

Expiration Date

09/30/2011

City

MATTOON

State

Zip

61938

County

COLES

Ever Disciplined

LastModifiedDate

07/07/2011