PALLAVI GANGUPANTULA Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070014470

License Status

NOT RENEWED

Business

First Name

PALLAVI

Last Name

GANGUPANTULA

Business Name

PALLAVI GANGUPANTULA

Original Issue Date

06/15/2005

Effective Date

07/10/2008

Expiration Date

09/30/2010

City

STREAMWOOD

State

Zip

60107

County

COOK

Ever Disciplined

LastModifiedDate

11/08/2010