KEITH A DAVIS Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070010180

License Status

INACTIVE

Business

First Name

KEITH A

Last Name

DAVIS

Business Name

KEITH A DAVIS

Original Issue Date

07/11/1997

Effective Date

07/11/1997

Expiration Date

09/30/2000

City

COLUMBIA

State

Zip

65203

County

MISSOURI

Ever Disciplined

LastModifiedDate

10/17/2005