AMITA VIRESH BIJAWAT Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070016084

License Status

NOT RENEWED

Business

First Name

AMITA

Middle

VIRESH

Last Name

BIJAWAT

Business Name

AMITA VIRESH BIJAWAT

Original Issue Date

10/18/2007

Effective Date

10/02/2012

Expiration Date

09/30/2014

City

HAWTHORN WOODS

State

Zip

60047

County

LAKE

Ever Disciplined

LastModifiedDate

11/17/2014