INDIRA ASHOKKUMAR PATEL Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070003106

License Status

NOT RENEWED

Business

First Name

INDIRA

Middle

ASHOKKUMAR

Last Name

PATEL

Business Name

INDIRA ASHOKKUMAR PATEL

Original Issue Date

12/24/1979

Effective Date

09/09/2014

Expiration Date

09/30/2016

City

BUFORD

State

Zip

30519

County

GEORGIA

Ever Disciplined

LastModifiedDate

11/26/2016