FATAI BOLAJI ADISA - Physical Therapist License in Indiana | # 070009815

FATAI BOLAJI ADISA

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070009815

License Status

INACTIVE

Business

N

First Name

FATAI BOLAJI

Last Name

ADISA

Business Name

FATAI BOLAJI ADISA

Original Issue Date

11/26/1996

Effective Date

09/28/2020

Expiration Date

09/30/2022

State

IN

Ever Disciplined

N

LastModifiedDate

10/01/2022