CHANDANIBAHEN SURENDRAKUMAR AMIN Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070019113

License Status

NOT RENEWED

Business

First Name

CHANDANIBAHEN

Middle

SURENDRAKUMAR

Last Name

AMIN

Business Name

CHANDANIBAHEN SURENDRAKUMAR AMIN

Original Issue Date

06/19/2012

Effective Date

09/19/2012

Expiration Date

09/30/2014

City

EAGAN

State

Zip

55123

County

MINNESOTA

Ever Disciplined

LastModifiedDate

11/17/2014