MELISSA RENEE AVITIA Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160006723

License Status

NOT RENEWED

Business

First Name

MELISSA

Middle

RENEE

Last Name

AVITIA

Business Name

MELISSA RENEE AVITIA

Original Issue Date

03/06/2014

Effective Date

09/17/2015

Expiration Date

09/30/2017

City

SHAWNEE

State

Zip

66216

County

KANSAS

Ever Disciplined

LastModifiedDate

11/01/2017