BETH ELLEN POTTER - Physical Therapist License in Missouri | # 070010784

BETH ELLEN POTTER

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070010784

License Status

INACTIVE

Business

N

First Name

BETH

Middle

ELLEN

Last Name

POTTER

Business Name

BETH ELLEN POTTER

Original Issue Date

09/02/1998

Effective Date

09/02/1998

Expiration Date

09/30/2002

State

MO

Ever Disciplined

N

LastModifiedDate

10/17/2005