BHAWANI SHANKAR GUPTA - Occupational Therapist License in Illinois | # 056005252

BHAWANI SHANKAR GUPTA

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056005252

License Status

NOT RENEWED

Business

N

First Name

BHAWANI

Middle

SHANKAR

Last Name

GUPTA

Business Name

BHAWANI SHANKAR GUPTA

Original Issue Date

02/01/1999

Effective Date

02/27/2002

Expiration Date

12/31/2001

State

IL

Ever Disciplined

N

LastModifiedDate

09/11/2005