BOGUSLAWA E POTEPA Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070012513

License Status

INACTIVE

Business

First Name

BOGUSLAWA

Middle

Last Name

POTEPA

Business Name

BOGUSLAWA E POTEPA

Original Issue Date

06/14/2001

Effective Date

08/16/2012

Expiration Date

09/30/2014

City

SARASOTA

State

Zip

34233

County

FLORIDA

Ever Disciplined

LastModifiedDate

07/03/2014