DORIAN FAYE LOGAN DPT Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070028255

License Status

ACTIVE

Business

Title

DPT

First Name

DORIAN

Middle

FAYE

Last Name

LOGAN

Business Name

DORIAN FAYE LOGAN DPT

Original Issue Date

05/21/2024

Effective Date

08/12/2024

Expiration Date

09/30/2026

City

BALDWIN CITY

State

Zip

66006

Ever Disciplined

LastModifiedDate

08/12/2024