PUNAM HIREN PANCHAL Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160007448

License Status

ACTIVE

Business

First Name

PUNAM

Middle

HIREN

Last Name

PANCHAL

Business Name

PUNAM HIREN PANCHAL

Original Issue Date

04/13/2016

Effective Date

09/10/2025

Expiration Date

09/30/2027

City

SAVOY

State

Zip

61874

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

09/10/2025