FORAM S THAKKAR Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160007035

License Status

ACTIVE

Business

First Name

FORAM

Middle

Last Name

THAKKAR

Business Name

FORAM S THAKKAR

Original Issue Date

11/19/2014

Effective Date

09/11/2025

Expiration Date

09/30/2027

City

MT PROSPECT

State

Zip

60056

County

COOK

Ever Disciplined

LastModifiedDate

09/11/2025