NANCY L MELLOR Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160000422

License Status

INACTIVE

Business

First Name

NANCY L

Last Name

MELLOR

Business Name

NANCY L MELLOR

Original Issue Date

08/15/1991

Effective Date

08/15/1991

Expiration Date

09/30/2005

City

BLACK RIVER FALLS

State

Zip

54615

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/17/2005