CHARULATA M BASOLE Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070007456

License Status

ACTIVE

Business

First Name

CHARULATA M

Last Name

BASOLE

Business Name

CHARULATA M BASOLE

Original Issue Date

03/22/1993

Effective Date

07/04/2024

Expiration Date

09/30/2026

City

SAVOY

State

Zip

61874

Ever Disciplined

LastModifiedDate

07/04/2024