MELISSA MICKLE Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160007542

License Status

ACTIVE

Business

First Name

MELISSA

Last Name

MICKLE

Business Name

MELISSA MICKLE

Original Issue Date

07/27/2016

Effective Date

09/22/2025

Expiration Date

09/30/2027

City

PEKIN

State

Zip

61554

County

TAZEWELL

Ever Disciplined

LastModifiedDate

09/22/2025