KEITH HAINES Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070014026

License Status

NOT RENEWED

Business

First Name

KEITH

Last Name

HAINES

Business Name

KEITH HAINES

Original Issue Date

07/26/2004

Effective Date

08/18/2016

Expiration Date

09/30/2018

City

WHITE PLAINS

State

Zip

10605

County

WILL

Ever Disciplined

LastModifiedDate

12/05/2018