MELYNDA D DAHL Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160005170

License Status

INACTIVE

Business

First Name

MELYNDA

Middle

Last Name

DAHL

Business Name

MELYNDA D DAHL

Original Issue Date

04/21/2009

Effective Date

07/09/2009

Expiration Date

09/30/2011

City

PORTER

State

Zip

46304

County

INDIANA

Ever Disciplined

LastModifiedDate

07/07/2011