VIDIT ATUL PHANSE Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070022922

License Status

ACTIVE

Business

First Name

VIDIT

Middle

ATUL

Last Name

PHANSE

Business Name

VIDIT ATUL PHANSE

Original Issue Date

05/08/2017

Effective Date

09/05/2024

Expiration Date

09/30/2026

City

PLAINFIELD

State

Zip

60586

County

KENDALL

Ever Disciplined

LastModifiedDate

09/05/2024