KEITH ALAN KIRBY - Physical Therapist License in Illinois | # 070003211

KEITH ALAN KIRBY

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070003211

License Status

NOT RENEWED

Business

N

First Name

KEITH ALAN

Last Name

KIRBY

Business Name

KEITH ALAN KIRBY

Original Issue Date

07/28/1980

Effective Date

07/28/1980

Expiration Date

09/30/1988

State

IL

Ever Disciplined

N

LastModifiedDate

10/14/2005