MELANIE KOZELICHKI Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070003472

License Status

NOT RENEWED

Business

First Name

MELANIE

Last Name

KOZELICHKI

Business Name

MELANIE KOZELICHKI

Original Issue Date

09/01/1981

Effective Date

09/01/1981

Expiration Date

09/30/1992

City

TERRE HAUTE

State

Zip

47802

County

INDIANA

Ever Disciplined

LastModifiedDate

10/14/2005