AMBER J POTASNIK Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160005406

License Status

NOT RENEWED

Business

First Name

AMBER

Middle

Last Name

POTASNIK

Business Name

AMBER J POTASNIK

Original Issue Date

02/18/2010

Effective Date

09/12/2011

Expiration Date

09/30/2013

City

SUMMERSVILLE

State

Zip

26651

County

WEST VIRGINIA

Ever Disciplined

LastModifiedDate

11/12/2013