License holder summary

PARADIANG , LARA PAGOTAISIDRO is a Department Of Health - Physical Therapist licensed to practice in Tennessee. This medical licensee license is current. The license was granted 10/04/2012 and expired on 12/31/2017.

Department of Health

Board of Medical Examiners

PARADIANG , LARA PAGOTAISIDRO
Department Of Health - Physical Therapist
License number
9344
Date granted
10/04/2012
Date expires
12/31/2017
Class
Department Of Health - Physical Therapist
Status
Licensed
Address
medicaltn.com
ID 42323827
LAST UPDATED 2026-04-06 19:17:17 UTC

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