MARY ELLEN EWANOWSKI Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070002973

License Status

INACTIVE

Business

First Name

MARY ELLEN

Last Name

EWANOWSKI

Business Name

MARY ELLEN EWANOWSKI

Original Issue Date

11/20/1979

Effective Date

11/20/1979

Expiration Date

09/30/1986

City

MADISON

State

Zip

53711

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/14/2005