BRIAN C COLLISON Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160003165

License Status

INACTIVE

Business

First Name

BRIAN

Middle

Last Name

COLLISON

Business Name

BRIAN C COLLISON

Original Issue Date

10/23/1998

Effective Date

10/23/1998

Expiration Date

09/30/2005

City

BEARDSTOWN

State

Zip

62618

County

CASS

Ever Disciplined

LastModifiedDate

10/17/2005