BRIAN C COLLISON - Physical Therapist License in Illinois | # 160003165

BRIAN C COLLISON

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160003165

License Status

INACTIVE

Business

N

First Name

BRIAN

Middle

C

Last Name

COLLISON

Business Name

BRIAN C COLLISON

Original Issue Date

10/23/1998

Effective Date

10/23/1998

Expiration Date

09/30/2005

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005