INDIRA ASHOKKUMAR PATEL - Physical Therapist License in Georgia | # 070003106

INDIRA ASHOKKUMAR PATEL

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070003106

License Status

NOT RENEWED

Business

N

First Name

INDIRA

Middle

ASHOKKUMAR

Last Name

PATEL

Business Name

INDIRA ASHOKKUMAR PATEL

Original Issue Date

12/24/1979

Effective Date

09/09/2014

Expiration Date

09/30/2016

State

GA

Ever Disciplined

N

LastModifiedDate

11/26/2016