SAMRUDDHA SHRINIVAS SHENOY Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070019054

License Status

NOT RENEWED

Business

First Name

SAMRUDDHA

Middle

SHRINIVAS

Last Name

SHENOY

Business Name

SAMRUDDHA SHRINIVAS SHENOY

Original Issue Date

04/17/2012

Effective Date

09/19/2018

Expiration Date

09/30/2020

City

ORLAND PARK

State

Zip

60462

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021