JENNIFER SUE POLIVICK Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070013957

License Status

INACTIVE

Business

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

City

BARDWELL

State

Zip

42023

County

KENTUCKY

Ever Disciplined

LastModifiedDate

07/05/2012