KELLI R KOGA Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070004626

License Status

NOT RENEWED

Business

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

City

GLEN ELLYN

State

Zip

60137

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/17/2005