LOGAN HOWARD DANIEL LATVIS - Physical Therapist License in Wisconsin | # 160010168

LOGAN HOWARD DANIEL LATVIS

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160010168

License Status

NOT RENEWED

Business

N

First Name

LOGAN

Middle

HOWARD DANIEL

Last Name

LATVIS

Business Name

LOGAN HOWARD DANIEL LATVIS

Original Issue Date

07/29/2024

Effective Date

07/29/2024

Expiration Date

09/30/2025

State

WI

Ever Disciplined

N

LastModifiedDate

01/16/2026