ANJALI DEODUTTA DAVE Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070019763

License Status

NOT RENEWED

Business

First Name

ANJALI

Middle

DEODUTTA

Last Name

DAVE

Business Name

ANJALI DEODUTTA DAVE

Original Issue Date

03/11/2013

Effective Date

03/11/2013

Expiration Date

09/30/2014

City

INDIANAPOLIS

State

Zip

46237

County

INDIANA

Ever Disciplined

LastModifiedDate

11/17/2014