MELISSA A BERCHEM Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160001787

License Status

NOT RENEWED

Business

First Name

MELISSA A

Last Name

BERCHEM

Business Name

MELISSA A BERCHEM

Original Issue Date

09/27/1993

Effective Date

09/27/1993

Expiration Date

09/30/1995

City

NEW HOLSTEIN

State

Zip

53061

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/14/2005