CADEN J KEILLOR Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160007413

License Status

NOT RENEWED

Business

First Name

CADEN

Middle

Last Name

KEILLOR

Business Name

CADEN J KEILLOR

Original Issue Date

01/21/2016

Effective Date

09/14/2017

Expiration Date

09/30/2019

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Ever Disciplined

LastModifiedDate

01/13/2020