AMY L KELLER Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070009240

License Status

NOT RENEWED

Business

First Name

AMY L

Last Name

KELLER

Business Name

AMY L KELLER

Original Issue Date

01/04/1996

Effective Date

01/04/1996

Expiration Date

09/30/2004

City

INDIANAPOLIS

State

Zip

46220

County

INDIANA

Ever Disciplined

LastModifiedDate

10/17/2005