SHANNON J POTTER - Physical Therapist License in Illinois | # 160004046

SHANNON J POTTER

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160004046

License Status

INACTIVE

Business

N

First Name

SHANNON

Middle

J

Last Name

POTTER

Business Name

SHANNON J POTTER

Original Issue Date

04/30/2002

Effective Date

04/30/2002

Expiration Date

09/30/2003

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005