SHAKTI ABHAY BANWAT Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160006962

License Status

NOT RENEWED

Business

First Name

SHAKTI

Middle

ABHAY

Last Name

BANWAT

Business Name

SHAKTI ABHAY BANWAT

Original Issue Date

11/05/2014

Effective Date

12/30/2021

Expiration Date

09/30/2023

City

DYER

State

Zip

46311

County

INDIANA

Ever Disciplined

LastModifiedDate

02/02/2024