MELISSA L BROCK Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160002600

License Status

INACTIVE

Business

First Name

MELISSA L

Last Name

BROCK

Business Name

MELISSA L BROCK

Original Issue Date

12/10/1996

Effective Date

12/10/1996

Expiration Date

09/30/1997

City

FLORENCE

State

Zip

29501

County

SOUTH CAROLINA

Ever Disciplined

LastModifiedDate

10/14/2005