SRIVENKATA SANJEEV MALLAREDDY Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070021827

License Status

NOT RENEWED

Business

First Name

SRIVENKATA

Middle

SANJEEV

Last Name

MALLAREDDY

Business Name

SRIVENKATA SANJEEV MALLAREDDY

Original Issue Date

09/16/2015

Effective Date

07/25/2016

Expiration Date

09/30/2018

City

TROY

State

Zip

48083

County

MICHIGAN

Ever Disciplined

LastModifiedDate

12/05/2018