MAUREEN A KETCHAM Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160001318

License Status

NOT RENEWED

Business

First Name

MAUREEN A

Last Name

KETCHAM

Business Name

MAUREEN A KETCHAM

Original Issue Date

01/09/1992

Effective Date

08/17/2009

Expiration Date

09/30/2011

City

PEORIA HEIGHTS

State

Zip

61616

County

PEORIA

Ever Disciplined

LastModifiedDate

11/04/2011