KANKANAMGE A DE SILVA - Physical Therapist License in Illinois | # 070007371

KANKANAMGE A DE SILVA

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070007371

License Status

NOT RENEWED

Business

N

First Name

KANKANAMGE A

Last Name

DE SILVA

Business Name

KANKANAMGE A DE SILVA

Original Issue Date

01/20/1993

Effective Date

09/10/2010

Expiration Date

09/30/2012

State

IL

Ever Disciplined

N

LastModifiedDate

01/16/2013