CAREY LANE HOLLERAN Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070015523

License Status

NOT RENEWED

Business

First Name

CAREY

Middle

LANE

Last Name

HOLLERAN

Business Name

CAREY LANE HOLLERAN

Original Issue Date

01/12/2007

Effective Date

07/11/2016

Expiration Date

09/30/2018

City

SAINT LOUIS

State

Zip

63124

County

COOK

Ever Disciplined

LastModifiedDate

12/05/2018