CID ANTHONY A MELOCOTON Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070008391

License Status

ACTIVE

Business

First Name

CID ANTHONY A

Last Name

MELOCOTON

Business Name

CID ANTHONY A MELOCOTON

Original Issue Date

09/26/1994

Effective Date

10/02/2024

Expiration Date

09/30/2026

City

SPRINGFIELD

State

Zip

62711

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/02/2024