KELLI R KOGA - Physical Therapist License in Illinois | # 070004626

KELLI R KOGA

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070004626

License Status

NOT RENEWED

Business

N

First Name

KELLI R

Last Name

KOGA

Business Name

KELLI R KOGA

Original Issue Date

11/25/1985

Effective Date

11/25/1985

Expiration Date

09/30/2004

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005