ELLEN DOROTHY LARSON Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070022894

License Status

NOT RENEWED

Business

First Name

ELLEN

Middle

DOROTHY

Last Name

LARSON

Business Name

ELLEN DOROTHY LARSON

Original Issue Date

04/10/2017

Effective Date

04/10/2017

Expiration Date

09/30/2018

City

OVERLAND PARK

State

Zip

66207

County

KANSAS

Ever Disciplined

LastModifiedDate

12/05/2018