MELISSA D WILLIS Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160003206

License Status

NOT RENEWED

Business

First Name

MELISSA

Middle

Last Name

WILLIS

Business Name

MELISSA D WILLIS

Original Issue Date

11/05/1998

Effective Date

11/05/1998

Expiration Date

09/30/2001

City

CADIZ

State

Zip

42211

County

KENTUCKY

Ever Disciplined

LastModifiedDate

10/17/2005