SHIBU P PERUMBULLY Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160005937

License Status

ACTIVE

Business

First Name

SHIBU

Middle

Last Name

PERUMBULLY

Business Name

SHIBU P PERUMBULLY

Original Issue Date

01/19/2012

Effective Date

08/23/2025

Expiration Date

09/30/2027

City

OAK LAWN

State

Zip

60453

County

COOK

Ever Disciplined

LastModifiedDate

08/23/2025