GLEN J LATCHAM Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160000714

License Status

NOT RENEWED

Business

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

City

OTTUMWA

State

Zip

52501

County

IOWA

Ever Disciplined

LastModifiedDate

10/14/2005