KEITH M SCOTT Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070018457

License Status

ACTIVE

Business

First Name

KEITH

Middle

Last Name

SCOTT

Business Name

KEITH M SCOTT

Original Issue Date

06/24/2011

Effective Date

09/27/2024

Expiration Date

09/30/2026

City

WASHINGTON

State

Zip

61571

County

TAZEWELL

Ever Disciplined

LastModifiedDate

09/27/2024