KAUMUDI NALLANCHAKRAVARTHULA Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070019013

License Status

INACTIVE

Business

First Name

KAUMUDI

Last Name

NALLANCHAKRAVARTHULA

Business Name

KAUMUDI NALLANCHAKRAVARTHULA

Original Issue Date

03/08/2012

Effective Date

07/10/2012

Expiration Date

09/30/2014

City

FARMINGTON HILLS

State

Zip

48335

Ever Disciplined

LastModifiedDate

07/03/2014