BANSARI S MODI - Physical Therapist License in Illinois | # 070007131

BANSARI S MODI

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070007131

License Status

NOT RENEWED

Business

N

First Name

BANSARI S

Last Name

MODI

Business Name

BANSARI S MODI

Original Issue Date

09/25/1992

Effective Date

09/20/2022

Expiration Date

09/30/2024

State

IL

Ever Disciplined

N

LastModifiedDate

02/27/2025