CHHAVI BANSAL Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070014768

License Status

NOT RENEWED

Business

First Name

CHHAVI

Last Name

BANSAL

Business Name

CHHAVI BANSAL

Original Issue Date

12/07/2005

Effective Date

10/01/2006

Expiration Date

09/30/2008

City

SOUTH PLAINFIELD

State

Zip

07080

County

NEW JERSEY

Ever Disciplined

LastModifiedDate

06/18/2012