MELISSA L BROCK - Physical Therapist License in South Carolina | # 160002600

MELISSA L BROCK

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160002600

License Status

INACTIVE

Business

N

First Name

MELISSA L

Last Name

BROCK

Business Name

MELISSA L BROCK

Original Issue Date

12/10/1996

Effective Date

12/10/1996

Expiration Date

09/30/1997

State

SC

Ever Disciplined

N

LastModifiedDate

10/14/2005