MARY POWELL LAKE

Credential: Physical Therapist License

MARY POWELL LAKE (Credential# PT00002964) is a health care provider registered with Washington State Department of Health. The credential type is Physical Therapist License.

Provider Overview

Credential Number PT00002964
Full Name LAKE, MARY POWELL
Credential Type Physical Therapist License
Status EXPIRED
Birth Year 1960
First Issue Date 1983-06-10
Last Issue Date 1986-10-07
Expiration Date 1986-10-07
Action Taken No

Other providers

Provider Name Credential Type Status Expiration
MARY E LAKE Nursing Assistant Registration EXPIRED 2006-07-30
MARY JULANNE LAKE Licensed Practical Nurse EXPIRED 1995-04-05
MARY B LAKE Counselor Registration EXPIRED 1994-11-23
MARY JANE DAVIS LAKE Registered Nurse License EXPIRED 1971-12-31
MARY MARGARET HI LAKE Registered Nurse License EXPIRED 1937-12-31

Credential Type

Credential Type Physical Therapist License

Providers with the same credential type

Provider Name Credential Type Status Expiration
Dylan Samual Caliva Physical Therapist License ACTIVE 2019-11-12
Rachel Elizabeth Caliva Physical Therapist License ACTIVE 2019-11-19
Nyssa Ann Benesch Physical Therapist License ACTIVE 2019-12-17
Jose-Luis Navarro Rivas Physical Therapist License ACTIVE 2019-10-30
Morgan Alyssa Romans Physical Therapist License ACTIVE 2019-10-24
Stephanie Lynne Irwin Physical Therapist License ACTIVE 2019-10-20
Brian Scott Topham Physical Therapist License ACTIVE 2019-12-22
Althea Electra Parry-Childerley Physical Therapist License ACTIVE 2019-08-26
Amy Marie Hite Physical Therapist License ACTIVE 2019-10-03
Stephanie Dyan Daugherty Physical Therapist License ACTIVE 2019-10-24

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Dataset Information

Data Provider Washington State Department of Health
Jurisdiction Washington State

This dataset includes 2.43 million health care providers registered with Washington State Department of Health.