MELISSA D WACKT Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160001723

License Status

ACTIVE

Business

First Name

MELISSA D

Last Name

WACKT

Business Name

MELISSA D WACKT

Original Issue Date

09/14/1993

Effective Date

07/02/2025

Expiration Date

09/30/2027

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Ever Disciplined

LastModifiedDate

07/02/2025