JUSTIN J NELLAMATTOM Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070026812

License Status

ACTIVE

Business

First Name

JUSTIN

Middle

Last Name

NELLAMATTOM

Business Name

JUSTIN J NELLAMATTOM

Original Issue Date

07/21/2022

Effective Date

01/26/2025

Expiration Date

09/30/2026

City

DES PLAINES

State

Zip

60018

Ever Disciplined

LastModifiedDate

01/26/2025