BHAWANI SHANKAR GUPTA Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056005252

License Status

NOT RENEWED

Business

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

City

OTTAWA

State

Zip

61350

County

LA SALLE

Ever Disciplined

LastModifiedDate

09/11/2005