MELANIE D BREWER Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070011496

License Status

NOT RENEWED

Business

First Name

MELANIE

Middle

Last Name

BREWER

Business Name

MELANIE D BREWER

Original Issue Date

09/20/1999

Effective Date

09/20/1999

Expiration Date

09/30/2004

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

10/17/2005