ISHITA NIRANJAN SURA Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070016456

License Status

INACTIVE

Business

First Name

ISHITA

Middle

NIRANJAN

Last Name

SURA

Business Name

ISHITA NIRANJAN SURA

Original Issue Date

07/07/2008

Effective Date

07/07/2008

Expiration Date

09/30/2010

City

REDMOND

State

Zip

98052

Ever Disciplined

LastModifiedDate

07/08/2010