KEITH ALAN KIRBY Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070003211

License Status

NOT RENEWED

Business

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

City

WAUKEGAN

State

Zip

60085

County

LAKE

Ever Disciplined

LastModifiedDate

10/14/2005