L KEITH OWEN Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070004805

License Status

NOT RENEWED

Business

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

City

CHICAGO

State

Zip

60613

County

COOK

Ever Disciplined

LastModifiedDate

10/14/2005