COLUMBUS O MBACHU Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070011115

License Status

NOT RENEWED

Business

First Name

COLUMBUS

Middle

Last Name

MBACHU

Business Name

COLUMBUS O MBACHU

Original Issue Date

01/27/1999

Effective Date

09/26/2018

Expiration Date

09/30/2020

City

CROWN POINT

State

Zip

46307

County

INDIANA

Ever Disciplined

LastModifiedDate

01/14/2021