HOLLY S WIRTZ - Physical Therapist License in Illinois | # 070005090

HOLLY S WIRTZ

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070005090

License Status

NOT RENEWED

Business

N

First Name

HOLLY S

Last Name

WIRTZ

Business Name

HOLLY S WIRTZ

Original Issue Date

04/17/1987

Effective Date

04/17/1987

Expiration Date

09/30/1988

State

IL

Ever Disciplined

N

LastModifiedDate

10/14/2005