MELLISSA SUE BORST - Physical Therapist License in Wisconsin | # 070023470

MELLISSA SUE BORST

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070023470

License Status

NOT RENEWED

Business

N

First Name

MELLISSA

Middle

SUE

Last Name

BORST

Business Name

MELLISSA SUE BORST

Original Issue Date

12/13/2017

Effective Date

07/20/2023

Expiration Date

09/30/2024

State

WI

Ever Disciplined

N

LastModifiedDate

02/27/2025