ZACHARY D MELLMAN Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070023188

License Status

NOT RENEWED

Business

First Name

ZACHARY

Middle

Last Name

MELLMAN

Business Name

ZACHARY D MELLMAN

Original Issue Date

08/17/2017

Effective Date

10/01/2020

Expiration Date

09/30/2022

City

ALSIP

State

Zip

60803

Ever Disciplined

LastModifiedDate

11/28/2022