MAVURA A MUKONA - Physical Therapist License in Indiana | # 070011197

MAVURA A MUKONA

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070011197

License Status

NOT RENEWED

Business

N

First Name

MAVURA

Middle

A

Last Name

MUKONA

Business Name

MAVURA A MUKONA

Original Issue Date

03/12/1999

Effective Date

03/12/1999

Expiration Date

09/30/2004

State

IN

Ever Disciplined

N

LastModifiedDate

10/17/2005