ELLEN S WILLARD Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070009067

License Status

NOT RENEWED

Business

First Name

ELLEN S

Last Name

WILLARD

Business Name

ELLEN S WILLARD

Original Issue Date

09/12/1995

Effective Date

09/30/2004

Expiration Date

09/30/2006

City

CHARLOTTE

State

Zip

28227

County

NORTH CAROLINA

Ever Disciplined

LastModifiedDate

11/08/2006