DIANA NIVEDITA PAGIDAKULA Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070024944

License Status

ACTIVE

Business

First Name

DIANA

Middle

NIVEDITA

Last Name

PAGIDAKULA

Business Name

DIANA NIVEDITA PAGIDAKULA

Original Issue Date

02/04/2020

Effective Date

07/15/2024

Expiration Date

09/30/2026

City

GRAYSLAKE

State

Zip

60030

County

LAKE

Ever Disciplined

LastModifiedDate

07/15/2024