DONNA L MELLEN Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160001269

License Status

ACTIVE

Business

First Name

DONNA L

Last Name

MELLEN

Business Name

DONNA L MELLEN

Original Issue Date

01/02/1992

Effective Date

09/22/2025

Expiration Date

09/30/2027

City

FREEPORT

State

Zip

61032

Ever Disciplined

LastModifiedDate

09/22/2025