GOPI GORANTLA Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070016401

License Status

INACTIVE

Business

First Name

GOPI

Last Name

GORANTLA

Business Name

GOPI GORANTLA

Original Issue Date

05/16/2008

Effective Date

08/25/2008

Expiration Date

09/30/2010

City

INDIANAPOLIS

State

Zip

46227

County

INDIANA

Ever Disciplined

LastModifiedDate

07/08/2010