KETKI AJIT RAKTAVAN Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070026005

License Status

ACTIVE

Business

First Name

KETKI

Middle

AJIT

Last Name

RAKTAVAN

Business Name

KETKI AJIT RAKTAVAN

Original Issue Date

07/14/2021

Effective Date

08/08/2024

Expiration Date

09/30/2026

City

ELK GROVE VILLAGE

State

Zip

60007

County

COOK

Ever Disciplined

LastModifiedDate

08/08/2024