MARY J KOLASSA Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070010381

License Status

INACTIVE

Business

First Name

MARY J

Last Name

KOLASSA

Business Name

MARY J KOLASSA

Original Issue Date

12/11/1997

Effective Date

12/11/1997

Expiration Date

09/30/1998

City

LAKE GENEVA

State

Zip

53147

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/14/2005