MARY C KELLERMAN Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160000787

License Status

INACTIVE

Business

First Name

MARY C

Last Name

KELLERMAN

Business Name

MARY C KELLERMAN

Original Issue Date

10/22/1991

Effective Date

10/22/1991

Expiration Date

09/30/2003

City

BRIMFIELD

State

Zip

61517

County

PEORIA

Ever Disciplined

LastModifiedDate

10/17/2005