TERRY J ELLIS Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160002029

License Status

NOT RENEWED

Business

First Name

TERRY J

Last Name

ELLIS

Business Name

TERRY J ELLIS

Original Issue Date

10/01/1994

Effective Date

10/01/1994

Expiration Date

09/30/2001

City

EAU CLAIRE

State

Zip

54703

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/17/2005