DIANE C KEITH Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070007149

License Status

NOT RENEWED

Business

First Name

DIANE C

Last Name

KEITH

Business Name

DIANE C KEITH

Original Issue Date

09/25/1992

Effective Date

09/25/1992

Expiration Date

09/30/1998

City

BARRINGTON

State

Zip

60010

County

COOK

Ever Disciplined

LastModifiedDate

10/14/2005