FAZAL A SHAKIR Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070007028

License Status

NOT RENEWED

Business

First Name

FAZAL A

Last Name

SHAKIR

Business Name

FAZAL A SHAKIR

Original Issue Date

06/09/1992

Effective Date

09/30/2004

Expiration Date

09/30/2006

City

CHICAGO

State

Zip

60630

County

COOK

Ever Disciplined

LastModifiedDate

07/27/2007