DIVYA SHAH Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070024341

License Status

NOT RENEWED

Business

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

City

MORTON GROVE

State

Zip

60053

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021