AMY MELLECKER Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160001532

License Status

NOT RENEWED

Business

First Name

AMY

Last Name

MELLECKER

Business Name

AMY MELLECKER

Original Issue Date

09/29/1992

Effective Date

09/09/2013

Expiration Date

09/30/2015

City

NAPERVILLE

State

Zip

60564

County

WILL

Ever Disciplined

LastModifiedDate

11/03/2015