KIMBERLY H JELLISON Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070014467

License Status

NOT RENEWED

Business

First Name

KIMBERLY

Middle

Last Name

JELLISON

Business Name

KIMBERLY H JELLISON

Original Issue Date

06/14/2005

Effective Date

06/14/2005

Expiration Date

09/30/2006

City

S PORTLAND

State

Zip

04106

County

MAINE

Ever Disciplined

LastModifiedDate

11/08/2006