LISA M MELBOURN - Physical Therapist License in Georgia | # 070021532

LISA M MELBOURN

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070021532

License Status

NOT RENEWED

Business

N

First Name

LISA

Middle

M

Last Name

MELBOURN

Business Name

LISA M MELBOURN

Original Issue Date

08/10/2015

Effective Date

09/01/2020

Expiration Date

09/30/2022

State

GA

Ever Disciplined

N

LastModifiedDate

11/28/2022