LISA M MELBOURN Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070021532

License Status

NOT RENEWED

Business

First Name

LISA

Middle

Last Name

MELBOURN

Business Name

LISA M MELBOURN

Original Issue Date

08/10/2015

Effective Date

09/01/2020

Expiration Date

09/30/2022

City

ATLANTA

State

Zip

30310

Ever Disciplined

LastModifiedDate

11/28/2022