MELISSA NICOLE FUENTES Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070022177

License Status

ACTIVE

Business

First Name

MELISSA

Middle

NICOLE

Last Name

FUENTES

Business Name

MELISSA NICOLE FUENTES

Original Issue Date

06/14/2016

Effective Date

08/01/2024

Expiration Date

09/30/2026

City

CHICAGO

State

Zip

60631

County

COOK

Ever Disciplined

LastModifiedDate

08/01/2024