ELLIE B RICHARDSON Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160010055

License Status

ACTIVE

Business

First Name

ELLIE

Middle

Last Name

RICHARDSON

Business Name

ELLIE B RICHARDSON

Original Issue Date

12/07/2023

Effective Date

09/03/2025

Expiration Date

09/30/2027

City

MAKANDA

State

Zip

62958

Ever Disciplined

LastModifiedDate

09/03/2025