MELISSA KAY SIMON - Physical Therapist License in Wisconsin | # 070013598

MELISSA KAY SIMON

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070013598

License Status

NOT RENEWED

Business

N

First Name

MELISSA

Middle

KAY

Last Name

SIMON

Business Name

MELISSA KAY SIMON

Original Issue Date

08/22/2003

Effective Date

09/30/2004

Expiration Date

09/30/2006

State

WI

Ever Disciplined

N

LastModifiedDate

11/08/2006