SHITAL A TIPNIS Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070017768

License Status

NOT RENEWED

Business

First Name

SHITAL

Middle

Last Name

TIPNIS

Business Name

SHITAL A TIPNIS

Original Issue Date

05/10/2010

Effective Date

08/15/2018

Expiration Date

09/30/2020

City

BETTENDORF

State

Zip

52722

County

IOWA

Ever Disciplined

LastModifiedDate

01/14/2021