KANKANAMGE A DE SILVA Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070007371

License Status

NOT RENEWED

Business

First Name

KANKANAMGE A

Last Name

DE SILVA

Business Name

KANKANAMGE A DE SILVA

Original Issue Date

01/20/1993

Effective Date

09/10/2010

Expiration Date

09/30/2012

City

NILES

State

Zip

60714

County

COOK

Ever Disciplined

LastModifiedDate

01/16/2013