POLLY A GEIST Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160002756

License Status

ACTIVE

Business

First Name

POLLY A

Last Name

GEIST

Business Name

POLLY A GEIST

Original Issue Date

09/02/1997

Effective Date

09/20/2025

Expiration Date

09/30/2027

City

BETHALTO

State

Zip

62010

County

MADISON

Ever Disciplined

LastModifiedDate

09/20/2025