COLLEEN E MOELLER Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070002320

License Status

NOT RENEWED

Business

First Name

COLLEEN E

Last Name

MOELLER

Business Name

COLLEEN E MOELLER

Original Issue Date

01/11/1977

Effective Date

01/11/1977

Expiration Date

09/30/2004

City

NORTHBROOK

State

Zip

60062

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005