MELANIE J MOODY Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070001634

License Status

ACTIVE

Business

First Name

MELANIE J

Last Name

MOODY

Business Name

MELANIE J MOODY

Original Issue Date

12/22/1972

Effective Date

07/25/2024

Expiration Date

09/30/2026

City

ROUND LAKE

State

Zip

60073

County

LAKE

Ever Disciplined

LastModifiedDate

07/25/2024