JAEZPR ELLYS Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160008758

License Status

NOT RENEWED

Business

First Name

JAEZPR

Last Name

ELLYS

Business Name

JAEZPR ELLYS

Original Issue Date

10/21/2019

Effective Date

06/28/2023

Expiration Date

09/30/2025

City

PORTLAND

State

Zip

97217

Ever Disciplined

LastModifiedDate

12/30/2025