KEITH FRANKLIN BUMGARDNER Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070024270

License Status

ACTIVE

Business

First Name

KEITH

Middle

FRANKLIN

Last Name

BUMGARDNER

Business Name

KEITH FRANKLIN BUMGARDNER

Original Issue Date

04/25/2019

Effective Date

07/24/2024

Expiration Date

09/30/2026

City

FORSYTH

State

Zip

62535

County

FAYETTE

Ever Disciplined

LastModifiedDate

07/24/2024