MARY J KOLASSA - Physical Therapist License in Wisconsin | # 070010381

MARY J KOLASSA

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070010381

License Status

INACTIVE

Business

N

First Name

MARY J

Last Name

KOLASSA

Business Name

MARY J KOLASSA

Original Issue Date

12/11/1997

Effective Date

12/11/1997

Expiration Date

09/30/1998

State

WI

Ever Disciplined

N

LastModifiedDate

10/14/2005