KELLY JO COLGROVE Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070008857

License Status

INACTIVE

Business

First Name

KELLY JO

Last Name

COLGROVE

Business Name

KELLY JO COLGROVE

Original Issue Date

05/31/1995

Effective Date

05/31/1995

Expiration Date

09/30/2002

City

WAUKESHA

State

Zip

53188

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/17/2005