ELLEN MARY GRANDAW Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070011014

License Status

NOT RENEWED

Business

First Name

ELLEN

Middle

MARY

Last Name

GRANDAW

Business Name

ELLEN MARY GRANDAW

Original Issue Date

11/19/1998

Effective Date

11/19/1998

Expiration Date

09/30/2000

City

TWO RIVERS

State

Zip

54241

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/17/2005