KOMAL VIPUL PATEL Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070018793

License Status

INACTIVE

Business

First Name

KOMAL

Middle

VIPUL

Last Name

PATEL

Business Name

KOMAL VIPUL PATEL

Original Issue Date

10/06/2011

Effective Date

10/01/2022

Expiration Date

09/30/2024

City

ELKHART

State

Zip

46514

Ever Disciplined

LastModifiedDate

10/17/2024