TARA MARIE POTTER - Physical Therapist License in Kentucky | # 070017838

TARA MARIE POTTER

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070017838

License Status

NOT RENEWED

Business

N

First Name

TARA

Middle

MARIE

Last Name

POTTER

Business Name

TARA MARIE POTTER

Original Issue Date

07/06/2010

Effective Date

07/06/2010

Expiration Date

09/30/2012

State

KY

Ever Disciplined

N

LastModifiedDate

01/16/2013