KETKI P SHAH Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070005313

License Status

NOT RENEWED

Business

First Name

KETKI P

Last Name

SHAH

Business Name

KETKI P SHAH

Original Issue Date

01/01/1988

Effective Date

01/01/1988

Expiration Date

09/30/1992

City

PEORIA

State

Zip

61603

County

PEORIA

Ever Disciplined

LastModifiedDate

10/14/2005