MANISHA N PATEL Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070014126

License Status

NOT RENEWED

Business

First Name

MANISHA

Middle

Last Name

PATEL

Business Name

MANISHA N PATEL

Original Issue Date

09/07/2004

Effective Date

08/29/2014

Expiration Date

09/30/2016

City

LOVES PARK

State

Zip

61111

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

11/26/2016