MANOJ JEEVANANDAM Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070017636

License Status

INACTIVE

Business

First Name

MANOJ

Last Name

JEEVANANDAM

Business Name

MANOJ JEEVANANDAM

Original Issue Date

02/17/2010

Effective Date

09/29/2014

Expiration Date

09/30/2016

City

AUBURN HILLS

State

Zip

48326

Ever Disciplined

LastModifiedDate

07/06/2016