DAVID SCOTT MELLISH Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070009532

License Status

NOT RENEWED

Business

First Name

DAVID SCOTT

Last Name

MELLISH

Business Name

DAVID SCOTT MELLISH

Original Issue Date

06/03/1996

Effective Date

06/03/1996

Expiration Date

09/30/1996

City

WOODRIDGE

State

Zip

60517

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/14/2005