The holder whose full name is Keckley, Carol,come from SOUTH BEND IN,hold the Physical Therapist license(NO.05000531A) which status is Expired.
| Name | Keckley, Carol |
|---|---|
| License Number | 05000531A |
| License Type | Physical Therapist |
| License Status | Expired |
| City | SOUTH BEND |
| State | IN |