GOPI GORANTLA - Physical Therapist License in Indiana | # 070016401

GOPI GORANTLA

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070016401

License Status

INACTIVE

Business

N

First Name

GOPI

Last Name

GORANTLA

Business Name

GOPI GORANTLA

Original Issue Date

05/16/2008

Effective Date

08/25/2008

Expiration Date

09/30/2010

State

IN

Ever Disciplined

N

LastModifiedDate

07/08/2010