JENIKA RAHUL SHAH Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070024158

License Status

NOT RENEWED

Business

First Name

JENIKA RAHUL

Last Name

SHAH

Business Name

JENIKA RAHUL SHAH

Original Issue Date

02/05/2019

Effective Date

08/03/2020

Expiration Date

09/30/2022

City

FORT WAYNE

State

Zip

46825

Ever Disciplined

LastModifiedDate

11/28/2022