NIRUPAMA ASHWIN MADIA Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070003185

License Status

NOT RENEWED

Business

First Name

NIRUPAMA ASHWIN

Last Name

MADIA

Business Name

NIRUPAMA ASHWIN MADIA

Original Issue Date

05/21/1980

Effective Date

07/31/2014

Expiration Date

09/30/2016

City

PLYMOUTH

State

Zip

55446

County

MINNESOTA

Ever Disciplined

LastModifiedDate

11/26/2016