JENNIFER SUE POLIVICK - Physical Therapist License in Kentucky | # 070013957

JENNIFER SUE POLIVICK

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070013957

License Status

INACTIVE

Business

N

First Name

JENNIFER

Middle

SUE

Last Name

POLIVICK

Business Name

JENNIFER SUE POLIVICK

Original Issue Date

06/04/2004

Effective Date

10/04/2010

Expiration Date

09/30/2012

State

KY

Ever Disciplined

N

LastModifiedDate

07/05/2012