PRAJAKTA KUDALKAR Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070025054

License Status

NOT RENEWED

Business

First Name

PRAJAKTA

Last Name

KUDALKAR

Business Name

PRAJAKTA KUDALKAR

Original Issue Date

04/02/2020

Effective Date

08/03/2020

Expiration Date

09/30/2022

City

CARBONDALE

State

Zip

62901

County

WISCONSIN

Ever Disciplined

LastModifiedDate

11/28/2022