PRITI J BASA Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070019241

License Status

NOT RENEWED

Business

First Name

PRITI

Middle

Last Name

BASA

Business Name

PRITI J BASA

Original Issue Date

08/01/2012

Effective Date

08/01/2012

Expiration Date

09/30/2014

City

WHEELING

State

Zip

60090

County

COOK

Ever Disciplined

LastModifiedDate

11/17/2014