MARY LOU MELL Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160001155

License Status

NOT RENEWED

Business

First Name

MARY LOU

Last Name

MELL

Business Name

MARY LOU MELL

Original Issue Date

01/03/1992

Effective Date

09/16/2019

Expiration Date

01/31/2022

City

PINCKNEYVILLE

State

Zip

62274

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

05/19/2022