JENNIFER E KELLER Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160006702

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

Last Name

KELLER

Business Name

JENNIFER E KELLER

Original Issue Date

02/05/2014

Effective Date

08/03/2015

Expiration Date

09/30/2017

City

ANNA

State

Zip

62906

County

UNION

Ever Disciplined

LastModifiedDate

11/01/2017