L KEITH OWEN - Physical Therapist License in Illinois | # 070004805

L KEITH OWEN

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070004805

License Status

NOT RENEWED

Business

N

First Name

L KEITH

Last Name

OWEN

Business Name

L KEITH OWEN

Original Issue Date

06/12/1986

Effective Date

06/12/1986

Expiration Date

09/30/1990

State

IL

Ever Disciplined

N

LastModifiedDate

10/14/2005