LARRY D KETNER

Business Entity
ACTIVE

Podiatrist

LICENSED PODIATRY CONTROLLED SUBSTANCE

31*****46

ACTIVE

N

LARRY D

KETNER

LARRY D KETNER

09/06/1988

12/19/2024

01/31/2027

PERU

IL

61354

LA SALLE

II III IV V

N

04/16/2025