KEITH E CHAMPEN Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070012125

License Status

ACTIVE

Business

First Name

KEITH

Middle

Last Name

CHAMPEN

Business Name

KEITH E CHAMPEN

Original Issue Date

09/20/2000

Effective Date

09/05/2024

Expiration Date

09/30/2026

City

AURORA

State

Zip

60506

County

KANE

Ever Disciplined

LastModifiedDate

09/05/2024