CARRIE A KEITH Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070014499

License Status

NOT RENEWED

Business

First Name

CARRIE

Middle

Last Name

KEITH

Business Name

CARRIE A KEITH

Original Issue Date

07/07/2005

Effective Date

10/01/2014

Expiration Date

09/30/2016

City

OAK LAWN

State

Zip

60453

County

COOK

Ever Disciplined

LastModifiedDate

11/26/2016