ANN KEYES EBERSOLE Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070005176

License Status

INACTIVE

Business

First Name

ANN

Last Name

KEYES EBERSOLE

Business Name

ANN KEYES EBERSOLE

Original Issue Date

08/07/1987

Effective Date

08/07/1987

Expiration Date

09/30/2000

City

PORTLAND

State

Zip

97212

County

OREGON

Ever Disciplined

LastModifiedDate

10/17/2005