MELBOURNE GENEVA NICODAM CAMHOL Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070018752

License Status

NOT RENEWED

Business

First Name

MELBOURNE GENEVA

Middle

NICODAM

Last Name

CAMHOL

Business Name

MELBOURNE GENEVA NICODAM CAMHOL

Original Issue Date

09/20/2011

Effective Date

09/17/2012

Expiration Date

09/30/2014

City

CONCORDIA

State

Zip

66901

County

KANSAS

Ever Disciplined

LastModifiedDate

11/17/2014