ANIKETH MANOHAR CHAVAN Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070023495

License Status

INACTIVE

Business

First Name

ANIKETH

Middle

MANOHAR

Last Name

CHAVAN

Business Name

ANIKETH MANOHAR CHAVAN

Original Issue Date

01/17/2018

Effective Date

07/30/2020

Expiration Date

09/30/2022

City

BROOKLYN

State

Zip

11230

Ever Disciplined

LastModifiedDate

08/26/2022