ASHWINI V MODAK Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070008975

License Status

ACTIVE

Business

First Name

ASHWINI V

Last Name

MODAK

Business Name

ASHWINI V MODAK

Original Issue Date

09/06/1995

Effective Date

07/30/2024

Expiration Date

09/30/2026

City

PLAINFIELD

State

Zip

60586

County

WILL

Ever Disciplined

LastModifiedDate

07/30/2024