HOLLY E KIETZMAN Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160004637

License Status

ACTIVE

Business

First Name

HOLLY

Middle

Last Name

KIETZMAN

Business Name

HOLLY E KIETZMAN

Original Issue Date

09/07/2006

Effective Date

07/31/2025

Expiration Date

09/30/2027

City

SPRINGFIELD

State

Zip

62711

Ever Disciplined

LastModifiedDate

07/31/2025