MARY L DOLVIG Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160000833

License Status

NOT RENEWED

Business

First Name

MARY L

Last Name

DOLVIG

Business Name

MARY L DOLVIG

Original Issue Date

10/29/1991

Effective Date

07/12/2019

Expiration Date

01/31/2022

City

PLEASANT PLAINS

State

Zip

62677

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/19/2022