DAMIAN M LATHAM Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160008962

License Status

NOT RENEWED

Business

First Name

DAMIAN

Middle

Last Name

LATHAM

Business Name

DAMIAN M LATHAM

Original Issue Date

07/24/2020

Effective Date

07/24/2020

Expiration Date

01/31/2022

City

MULBERRY GROVE

State

Zip

62262

Ever Disciplined

LastModifiedDate

05/19/2022