SHAMALI PRAKASH DUSANE Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070026031

License Status

ACTIVE

Business

First Name

SHAMALI

Middle

PRAKASH

Last Name

DUSANE

Business Name

SHAMALI PRAKASH DUSANE

Original Issue Date

07/29/2021

Effective Date

08/05/2024

Expiration Date

09/30/2026

City

CHICAGO

State

Zip

60647

County

COOK

Ever Disciplined

LastModifiedDate

08/05/2024