KIRSTEN CLEONE BOLLINGER Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070011575

License Status

NOT RENEWED

Business

First Name

KIRSTEN

Middle

CLEONE

Last Name

BOLLINGER

Business Name

KIRSTEN CLEONE BOLLINGER

Original Issue Date

11/01/1999

Effective Date

09/30/2004

Expiration Date

09/30/2006

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

11/08/2006