DIANE C KEITH - Physical Therapist License in Illinois | # 070007149

DIANE C KEITH

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070007149

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/14/2005