JESUDIAN BODDU Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070018938

License Status

NOT RENEWED

Business

First Name

JESUDIAN

Last Name

BODDU

Business Name

JESUDIAN BODDU

Original Issue Date

02/07/2012

Effective Date

08/30/2016

Expiration Date

09/30/2018

City

ROLLING MEADOWS

State

Zip

60008

County

COOK

Ever Disciplined

LastModifiedDate

12/05/2018