GHULAM PANAWALA Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070001999

License Status

NOT RENEWED

Business

First Name

GHULAM

Last Name

PANAWALA

Business Name

GHULAM PANAWALA

Original Issue Date

05/19/1975

Effective Date

09/26/2016

Expiration Date

09/30/2018

City

CHICAGO

State

Zip

60634

County

COOK

Ever Disciplined

LastModifiedDate

12/05/2018