JOHN BASANTH K MEKALA Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070008303

License Status

ACTIVE

Business

First Name

JOHN BASANTH K

Last Name

MEKALA

Business Name

JOHN BASANTH K MEKALA

Original Issue Date

09/07/1994

Effective Date

07/16/2024

Expiration Date

09/30/2026

City

HILLSBORO

State

Zip

62049

Ever Disciplined

LastModifiedDate

07/16/2024