License holder summary

SHANBAGAVADIVU KRISHNASAMY is a Physical Therapy - Physical Therapist Assistant licensed to practice in Michigan. This licensed professional license is not current. The license was granted 04/17/2014 and expired on 07/31/2015.

Michigan

Department of Licensing and Regulation

SHANBAGAVADIVU KRISHNASAMY
Physical Therapy - Physical Therapist Assistant
License number
5502004169
Date granted
04/17/2014
Date expires
07/31/2015
Class
Physical Therapy - Physical Therapist Assistant
Status
Lapsed
Address
michiganlicensing.org
ID 39303804
LAST UPDATED 2026-03-30 14:25:04 UTC

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