ANJALI DEODUTTA DAVE - Physical Therapist License in Indiana | # 070019763

ANJALI DEODUTTA DAVE

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070019763

License Status

NOT RENEWED

Business

N

First Name

ANJALI

Middle

DEODUTTA

Last Name

DAVE

Business Name

ANJALI DEODUTTA DAVE

Original Issue Date

03/11/2013

Effective Date

03/11/2013

Expiration Date

09/30/2014

State

IN

Ever Disciplined

N

LastModifiedDate

11/17/2014