License holder summary

LICAUSI , KIM M is a Department Of Health - Physical Therapist licensed to practice in Tennessee. This medical licensee license is not current. The license was granted 10/05/1988 and expired on 02/29/2004.

Department of Health

Board of Medical Examiners

LICAUSI , KIM M
Department Of Health - Physical Therapist
License number
1800
Date granted
10/05/1988
Date expires
02/29/2004
Class
Department Of Health - Physical Therapist
Status
Retired
Address
medicaltn.com
ID 42321784
LAST UPDATED 2024-04-10 06:40:08 UTC

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