MELISSA KAY SIMON Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070013598

License Status

NOT RENEWED

Business

First Name

MELISSA

Middle

KAY

Last Name

SIMON

Business Name

MELISSA KAY SIMON

Original Issue Date

08/22/2003

Effective Date

09/30/2004

Expiration Date

09/30/2006

City

SHOREWOOD

State

Zip

53211

County

WISCONSIN

Ever Disciplined

LastModifiedDate

11/08/2006