FATAI BOLAJI ADISA Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070009815

License Status

INACTIVE

Business

First Name

FATAI BOLAJI

Last Name

ADISA

Business Name

FATAI BOLAJI ADISA

Original Issue Date

11/26/1996

Effective Date

09/28/2020

Expiration Date

09/30/2022

City

CROWN-POINT

State

Zip

46307

County

INDIANA

Ever Disciplined

LastModifiedDate

10/01/2022