SAFIA D FATAKDAWALA - Physical Therapist License in Missouri | # 070004769

SAFIA D FATAKDAWALA

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070004769

License Status

NOT RENEWED

Business

N

First Name

SAFIA D

Last Name

FATAKDAWALA

Business Name

SAFIA D FATAKDAWALA

Original Issue Date

04/16/1986

Effective Date

09/30/2004

Expiration Date

09/30/2006

State

MO

Ever Disciplined

N

LastModifiedDate

11/08/2006