RAGHUVEER KODABOYANA Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160008168

License Status

INACTIVE

Business

First Name

RAGHUVEER

Last Name

KODABOYANA

Business Name

RAGHUVEER KODABOYANA

Original Issue Date

02/07/2018

Effective Date

02/07/2018

Expiration Date

09/30/2019

City

HAMBURG TWP

State

Zip

48189

County

LIVINGSTON

Ever Disciplined

LastModifiedDate

09/25/2019