BRIANA GRACE ELLIS Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070021945

License Status

INACTIVE

Business

First Name

BRIANA

Middle

GRACE

Last Name

ELLIS

Business Name

BRIANA GRACE ELLIS

Original Issue Date

12/08/2015

Effective Date

12/08/2015

Expiration Date

09/30/2016

City

CATO

State

Zip

54230

County

WISCONSIN

Ever Disciplined

LastModifiedDate

07/06/2016