ELLEN J EASTMAN Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070004787

License Status

INACTIVE

Business

First Name

ELLEN J

Last Name

EASTMAN

Business Name

ELLEN J EASTMAN

Original Issue Date

06/12/1986

Effective Date

06/12/1986

Expiration Date

09/30/1990

City

HIXSON

State

Zip

37343

County

TENNESSEE

Ever Disciplined

LastModifiedDate

10/14/2005