KEVIN S POTTER Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160000150

License Status

ACTIVE

Business

First Name

KEVIN S

Last Name

POTTER

Business Name

KEVIN S POTTER

Original Issue Date

07/01/1991

Effective Date

08/19/2025

Expiration Date

09/30/2027

City

ANNA

State

Zip

62906

County

UNION

Ever Disciplined

LastModifiedDate

08/19/2025