SHAFALI R HEGDE Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070012780

License Status

ACTIVE

Business

First Name

SHAFALI

Middle

Last Name

HEGDE

Business Name

SHAFALI R HEGDE

Original Issue Date

12/06/2001

Effective Date

09/11/2024

Expiration Date

09/30/2026

City

PLAINFIELD

State

Zip

60585

County

WILL

Ever Disciplined

LastModifiedDate

09/11/2024