JESSICA A MITRA Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070012836

License Status

ACTIVE

Business

First Name

JESSICA

Middle

Last Name

MITRA

Business Name

JESSICA A MITRA

Original Issue Date

01/30/2002

Effective Date

09/20/2024

Expiration Date

09/30/2026

City

COLLEGE PLACE

State

Zip

99324

Ever Disciplined

LastModifiedDate

09/20/2024