AMBAKKE A BANDARA Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070004712

License Status

ACTIVE

Business

First Name

AMBAKKE A

Last Name

BANDARA

Business Name

AMBAKKE A BANDARA

Original Issue Date

02/27/1986

Effective Date

09/05/2024

Expiration Date

09/30/2026

City

TINLEY PARK

State

Zip

60477

County

COOK

Ever Disciplined

LastModifiedDate

09/05/2024