MELISSA L PETERSON Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070009246

License Status

ACTIVE

Business

First Name

MELISSA L

Last Name

PETERSON

Business Name

MELISSA L PETERSON

Original Issue Date

01/04/1996

Effective Date

09/18/2024

Expiration Date

09/30/2026

City

EUREKA

State

Zip

61530

County

WOODFORD

Ever Disciplined

LastModifiedDate

09/18/2024