LOGAN D CORPORON Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160007927

License Status

ACTIVE

Business

First Name

LOGAN

Middle

Last Name

CORPORON

Business Name

LOGAN D CORPORON

Original Issue Date

08/07/2017

Effective Date

09/29/2025

Expiration Date

09/30/2027

City

BELLEVILLE

State

Zip

62220

Ever Disciplined

LastModifiedDate

09/29/2025