MELISSA D CHUMBLEY Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160000843

License Status

INACTIVE

Business

First Name

MELISSA D

Last Name

CHUMBLEY

Business Name

MELISSA D CHUMBLEY

Original Issue Date

11/01/1991

Effective Date

09/04/2019

Expiration Date

12/31/2021

City

RANTOUL

State

Zip

61866

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

11/12/2021