KEITH RICHARD DEDECKER Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070021669

License Status

ACTIVE

Business

First Name

KEITH

Middle

RICHARD

Last Name

DEDECKER

Business Name

KEITH RICHARD DEDECKER

Original Issue Date

08/13/2015

Effective Date

07/08/2024

Expiration Date

09/30/2026

City

NAPERVILLE

State

Zip

60564

County

DUPAGE

Ever Disciplined

LastModifiedDate

07/08/2024