CHARLES U ANUMUDU Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160006480

License Status

NOT RENEWED

Business

First Name

CHARLES

Middle

Last Name

ANUMUDU

Business Name

CHARLES U ANUMUDU

Original Issue Date

08/05/2013

Effective Date

10/01/2019

Expiration Date

01/31/2022

City

CHICAGO

State

Zip

60640

County

COOK

Ever Disciplined

LastModifiedDate

05/19/2022