BETH A KETCHMARK Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070014133

License Status

NOT RENEWED

Business

First Name

BETH

Middle

Last Name

KETCHMARK

Business Name

BETH A KETCHMARK

Original Issue Date

09/10/2004

Effective Date

01/28/2014

Expiration Date

09/30/2014

City

GRAND RAPIDS

State

Zip

49546

County

MICHIGAN

Ever Disciplined

LastModifiedDate

11/17/2014