LINCY G PANACKAL - Physical Therapist License in Illinois | # 070022847

LINCY G PANACKAL

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070022847

License Status

NOT RENEWED

Business

N

First Name

LINCY

Middle

G

Last Name

PANACKAL

Business Name

LINCY G PANACKAL

Original Issue Date

02/22/2017

Effective Date

09/23/2020

Expiration Date

09/30/2022

State

IL

Ever Disciplined

N

LastModifiedDate

11/28/2022