KEITH A BRANSTITER Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070013549

License Status

NOT RENEWED

Business

First Name

KEITH

Middle

Last Name

BRANSTITER

Business Name

KEITH A BRANSTITER

Original Issue Date

07/09/2003

Effective Date

09/07/2022

Expiration Date

09/30/2024

City

PHOENIX

State

Zip

85024

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

02/27/2025