DIVYA SHAH - Physical Therapist License in Illinois | # 070024341

DIVYA SHAH

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070024341

License Status

NOT RENEWED

Business

N

First Name

DIVYA

Last Name

SHAH

Business Name

DIVYA SHAH

Original Issue Date

05/30/2019

Effective Date

05/30/2019

Expiration Date

09/30/2020

State

IL

Ever Disciplined

N

LastModifiedDate

01/14/2021