MELBOURNE GENEVA NICODAM CAMHOL - Physical Therapist License in Kansas | # 070018752

MELBOURNE GENEVA NICODAM CAMHOL

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070018752

License Status

NOT RENEWED

Business

N

First Name

MELBOURNE GENEVA

Middle

NICODAM

Last Name

CAMHOL

Business Name

MELBOURNE GENEVA NICODAM CAMHOL

Original Issue Date

09/20/2011

Effective Date

09/17/2012

Expiration Date

09/30/2014

State

KS

Ever Disciplined

N

LastModifiedDate

11/17/2014