MAITRI SHUKLA Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070023708

License Status

NOT RENEWED

Business

First Name

MAITRI

Last Name

SHUKLA

Business Name

MAITRI SHUKLA

Original Issue Date

07/24/2018

Effective Date

09/17/2020

Expiration Date

09/30/2022

City

CHICAGO

State

Zip

60640

County

COOK

Ever Disciplined

LastModifiedDate

11/28/2022