MELISSA N BERG Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160007006

License Status

NOT RENEWED

Business

First Name

MELISSA

Middle

Last Name

BERG

Business Name

MELISSA N BERG

Original Issue Date

11/12/2014

Effective Date

09/10/2019

Expiration Date

01/31/2022

City

BROWNSBURG

State

Zip

46112

County

INDIANA

Ever Disciplined

LastModifiedDate

05/19/2022