MELANI BLAKE WILLENBRINK Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070022087

License Status

NOT RENEWED

Business

First Name

MELANI

Middle

BLAKE

Last Name

WILLENBRINK

Business Name

MELANI BLAKE WILLENBRINK

Original Issue Date

03/16/2016

Effective Date

08/05/2016

Expiration Date

09/30/2018

City

SAINT LOUIS

State

Zip

63112

County

MISSOURI

Ever Disciplined

LastModifiedDate

12/05/2018