HOLLI MICHELE FANNING Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070028274

License Status

ACTIVE

Business

First Name

HOLLI

Middle

MICHELE

Last Name

FANNING

Business Name

HOLLI MICHELE FANNING

Original Issue Date

05/22/2024

Effective Date

08/31/2024

Expiration Date

09/30/2026

City

BREESE

State

Zip

62230

County

CLINTON

Ever Disciplined

LastModifiedDate

08/31/2024