SIREESHA GUMMA Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070014715

License Status

ACTIVE

Business

First Name

SIREESHA

Last Name

GUMMA

Business Name

SIREESHA GUMMA

Original Issue Date

11/17/2003

Effective Date

09/20/2024

Expiration Date

09/30/2026

City

ROSEVILLE

State

Zip

95747

Ever Disciplined

LastModifiedDate

09/20/2024