MARY LOU MELL - Physical Therapist License in Illinois | # 160001155

MARY LOU MELL

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160001155

License Status

NOT RENEWED

Business

N

First Name

MARY LOU

Last Name

MELL

Business Name

MARY LOU MELL

Original Issue Date

01/03/1992

Effective Date

09/16/2019

Expiration Date

01/31/2022

State

IL

Ever Disciplined

N

LastModifiedDate

05/19/2022