ELLEN M MOLENAAR Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070019233

License Status

NOT RENEWED

Business

First Name

ELLEN

Middle

Last Name

MOLENAAR

Business Name

ELLEN M MOLENAAR

Original Issue Date

08/01/2012

Effective Date

08/18/2016

Expiration Date

09/30/2018

City

PORTAGE

State

Zip

49024

County

MICHIGAN

Ever Disciplined

LastModifiedDate

12/05/2018