SAMRUDDHA SHRINIVAS SHENOY - Physical Therapist License in Illinois | # 070019054

SAMRUDDHA SHRINIVAS SHENOY

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070019054

License Status

NOT RENEWED

Business

N

First Name

SAMRUDDHA

Middle

SHRINIVAS

Last Name

SHENOY

Business Name

SAMRUDDHA SHRINIVAS SHENOY

Original Issue Date

04/17/2012

Effective Date

09/19/2018

Expiration Date

09/30/2020

State

IL

Ever Disciplined

N

LastModifiedDate

01/14/2021