LISA S ELLIS Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070010922

License Status

NOT RENEWED

Business

First Name

LISA

Middle

Last Name

ELLIS

Business Name

LISA S ELLIS

Original Issue Date

10/27/1998

Effective Date

10/27/1998

Expiration Date

09/30/2002

City

FALMOUTH

State

Zip

04105

County

MAINE

Ever Disciplined

LastModifiedDate

10/17/2005