GLEN J LATCHAM - Physical Therapist License in Iowa | # 160000714

GLEN J LATCHAM

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160000714

License Status

NOT RENEWED

Business

N

First Name

GLEN J

Last Name

LATCHAM

Business Name

GLEN J LATCHAM

Original Issue Date

10/09/1991

Effective Date

10/09/1991

Expiration Date

09/30/1993

State

IA

Ever Disciplined

N

LastModifiedDate

10/14/2005