STEPHANIE A KEEN Orthotist, Prosthetist, and Pedorthist License verification

Business Entity

INACTIVE

License Type

Orthotist, Prosthetist, and Pedorthist

Description

LICENSED PROSTHETIST

License Number

211000289

License Status

INACTIVE

Business

First Name

STEPHANIE

Middle

Last Name

KEEN

Business Name

STEPHANIE A KEEN

Original Issue Date

02/23/2015

Effective Date

01/02/2019

Expiration Date

09/30/2019

City

WASHINGTON

State

Zip

61571

County

TAZEWELL

Ever Disciplined

LastModifiedDate

07/04/2019