SUBRAT BAHINIPATI Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070013650

License Status

ACTIVE

Business

First Name

SUBRAT

Last Name

BAHINIPATI

Business Name

SUBRAT BAHINIPATI

Original Issue Date

09/26/2003

Effective Date

07/03/2024

Expiration Date

09/30/2026

City

CARTERVILLE

State

Zip

62918

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

07/03/2024