KEITH I FOUNDLING Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160005973

License Status

NOT RENEWED

Business

First Name

KEITH

Middle

Last Name

FOUNDLING

Business Name

KEITH I FOUNDLING

Original Issue Date

03/26/2012

Effective Date

09/25/2017

Expiration Date

09/30/2019

City

WHITING

State

Zip

46394

County

PENNSYLVANIA

Ever Disciplined

LastModifiedDate

01/13/2020