MELISSA ANN JANTZEN Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070023461

License Status

NOT RENEWED

Business

First Name

MELISSA

Middle

ANN

Last Name

JANTZEN

Business Name

MELISSA ANN JANTZEN

Original Issue Date

12/06/2017

Effective Date

08/18/2020

Expiration Date

09/30/2022

City

OMAHA

State

Zip

68132

County

PEORIA

Ever Disciplined

LastModifiedDate

11/28/2022