GOURI SHANKAR CHITALAPUDI Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160007122

License Status

NOT RENEWED

Business

First Name

GOURI

Middle

SHANKAR

Last Name

CHITALAPUDI

Business Name

GOURI SHANKAR CHITALAPUDI

Original Issue Date

06/25/2015

Effective Date

09/26/2017

Expiration Date

09/30/2019

City

KINGWOOD

State

Zip

77339

County

INDIANA

Ever Disciplined

LastModifiedDate

01/13/2020