DATHATREYA KANDAGARI - Physical Therapist License in Illinois | # 070019837

DATHATREYA KANDAGARI

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070019837

License Status

NOT RENEWED

Business

N

First Name

DATHATREYA

Last Name

KANDAGARI

Business Name

DATHATREYA KANDAGARI

Original Issue Date

05/20/2013

Effective Date

09/23/2016

Expiration Date

09/30/2018

State

IL

Ever Disciplined

N

LastModifiedDate

12/05/2018