TARA MARIE POTTER Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070017838

License Status

NOT RENEWED

Business

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

City

EDGEWOOD

State

Zip

41017

County

KENTUCKY

Ever Disciplined

LastModifiedDate

01/16/2013