KEELEY M GREEN Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160007628

License Status

NOT RENEWED

Business

First Name

KEELEY

Middle

Last Name

GREEN

Business Name

KEELEY M GREEN

Original Issue Date

08/08/2016

Effective Date

10/02/2017

Expiration Date

09/30/2019

City

DE WITT

State

Zip

52742

County

IOWA

Ever Disciplined

LastModifiedDate

01/13/2020