KIRAN M DATAR Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070007562

License Status

ACTIVE

Business

First Name

KIRAN M

Last Name

DATAR

Business Name

KIRAN M DATAR

Original Issue Date

05/08/1993

Effective Date

07/03/2024

Expiration Date

09/30/2026

City

QUINCY

State

Zip

62305

County

ADAMS

Ever Disciplined

LastModifiedDate

07/03/2024