JAROSLAW A LATALA Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070007608

License Status

NOT RENEWED

Business

First Name

JAROSLAW A

Last Name

LATALA

Business Name

JAROSLAW A LATALA

Original Issue Date

05/13/1993

Effective Date

05/13/1993

Expiration Date

09/30/2000

City

SOUTHGATE

State

Zip

48195

County

MICHIGAN

Ever Disciplined

LastModifiedDate

10/17/2005