HOLLY J KOLLER Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160003216

License Status

NOT RENEWED

Business

First Name

HOLLY

Middle

Last Name

KOLLER

Business Name

HOLLY J KOLLER

Original Issue Date

11/17/1998

Effective Date

11/17/1998

Expiration Date

09/30/2003

City

CARY

State

Zip

60013

County

MCHENRY

Ever Disciplined

LastModifiedDate

10/17/2005