KELLY A HOLTKAMP MD Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070006323

License Status

INACTIVE

Business

First Name

KELLY

Middle

Last Name

HOLTKAMP

Suffix

Business Name

KELLY A HOLTKAMP MD

Original Issue Date

01/04/1991

Effective Date

01/04/1991

Expiration Date

09/30/2002

City

VILLAGE OF LAKEWOOD

State

Zip

60014

County

MCHENRY

Ever Disciplined

LastModifiedDate

10/17/2005