S M R BANDARA Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070007490

License Status

ACTIVE

Business

First Name

S M R

Last Name

BANDARA

Business Name

S M R BANDARA

Original Issue Date

05/03/1993

Effective Date

09/10/2024

Expiration Date

09/30/2026

City

TINLEY PARK

State

Zip

60487

County

COOK

Ever Disciplined

LastModifiedDate

09/10/2024