RANI MAMMEN Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160006400

License Status

NOT RENEWED

Business

First Name

RANI

Last Name

MAMMEN

Business Name

RANI MAMMEN

Original Issue Date

06/17/2013

Effective Date

09/10/2019

Expiration Date

01/31/2022

City

DES PLAINES

State

Zip

60016

County

COOK

Ever Disciplined

LastModifiedDate

05/19/2022