MELISSA JOAN BAICH Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070013975

License Status

NOT RENEWED

Business

First Name

MELISSA

Middle

JOAN

Last Name

BAICH

Business Name

MELISSA JOAN BAICH

Original Issue Date

06/17/2004

Effective Date

09/30/2004

Expiration Date

09/30/2006

City

CARMEL

State

Zip

46033

County

INDIANA

Ever Disciplined

LastModifiedDate

10/01/2015