GEORGE B KOLLER Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070019101

License Status

NOT RENEWED

Business

First Name

GEORGE

Middle

Last Name

KOLLER

Business Name

GEORGE B KOLLER

Original Issue Date

06/05/2012

Effective Date

08/20/2018

Expiration Date

09/30/2020

City

MADISON

State

Zip

39110

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021