JOMON MATHEW EDAKARA Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070017493

License Status

ACTIVE

Business

First Name

JOMON

Middle

MATHEW

Last Name

EDAKARA

Business Name

JOMON MATHEW EDAKARA

Original Issue Date

10/28/2009

Effective Date

09/04/2024

Expiration Date

09/30/2026

City

PARK RIDGE

State

Zip

60068

County

COOK

Ever Disciplined

LastModifiedDate

09/04/2024