BETH ELLEN POTTER Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070010784

License Status

INACTIVE

Business

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

City

FENTON

State

Zip

63026

County

MISSOURI

Ever Disciplined

LastModifiedDate

10/17/2005