KEITH W SODERLUND Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070012850

License Status

NOT RENEWED

Business

First Name

KEITH

Middle

Last Name

SODERLUND

Business Name

KEITH W SODERLUND

Original Issue Date

02/05/2002

Effective Date

09/28/2012

Expiration Date

09/30/2014

City

ROMEOVILLE

State

Zip

60446

County

WILL

Ever Disciplined

LastModifiedDate

11/17/2014