CAROLYN MARGARET KELLER Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070022303

License Status

NOT RENEWED

Business

First Name

CAROLYN

Middle

MARGARET

Last Name

KELLER

Business Name

CAROLYN MARGARET KELLER

Original Issue Date

08/08/2016

Effective Date

08/08/2016

Expiration Date

09/30/2018

City

OSHKOSH

State

Zip

54904

County

WISCONSIN

Ever Disciplined

LastModifiedDate

12/05/2018