MELISSA STEVENS Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070012902

License Status

NOT RENEWED

Business

First Name

MELISSA

Last Name

STEVENS

Business Name

MELISSA STEVENS

Original Issue Date

03/13/2002

Effective Date

07/18/2016

Expiration Date

09/30/2018

City

PINGREE GROVE

State

Zip

60140

County

KANE

Ever Disciplined

LastModifiedDate

12/05/2018