KEITH A HASKETT Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160002997

License Status

NOT RENEWED

Business

First Name

KEITH

Middle

Last Name

HASKETT

Business Name

KEITH A HASKETT

Original Issue Date

05/11/1998

Effective Date

05/11/1998

Expiration Date

09/30/2001

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005