HOLLY P KREISLE Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070012179

License Status

NOT RENEWED

Business

First Name

HOLLY

Middle

Last Name

KREISLE

Business Name

HOLLY P KREISLE

Original Issue Date

10/27/2000

Effective Date

10/27/2000

Expiration Date

09/30/2004

City

CHICAGO

State

Zip

60640

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005