BHAIRAVI JAGDIP MAHANT Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070002752

License Status

INACTIVE

Business

First Name

BHAIRAVI JAGDIP

Last Name

MAHANT

Business Name

BHAIRAVI JAGDIP MAHANT

Original Issue Date

12/18/1978

Effective Date

12/18/1978

Expiration Date

09/30/1990

City

WEATHERFORD

State

Zip

73096

County

OKLAHOMA

Ever Disciplined

LastModifiedDate

10/14/2005