ELLIE N KEITH Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160008549

License Status

NOT RENEWED

Business

First Name

ELLIE

Middle

Last Name

KEITH

Business Name

ELLIE N KEITH

Original Issue Date

04/25/2019

Effective Date

07/04/2019

Expiration Date

01/31/2022

City

SAINT JOHN

State

Zip

46373

County

LAKE

Ever Disciplined

LastModifiedDate

05/19/2022