AMRUTA JYESHTHRAJ GODBOLE Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070019785

License Status

NOT RENEWED

Business

First Name

AMRUTA

Middle

JYESHTHRAJ

Last Name

GODBOLE

Business Name

AMRUTA JYESHTHRAJ GODBOLE

Original Issue Date

04/03/2013

Effective Date

10/01/2020

Expiration Date

09/30/2022

City

WEST LAFAYETTE

State

Zip

47906

County

INDIANA

Ever Disciplined

LastModifiedDate

11/28/2022