WALTER LATACZ Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070002568

License Status

INACTIVE

Business

First Name

WALTER

Last Name

LATACZ

Business Name

WALTER LATACZ

Original Issue Date

01/11/1978

Effective Date

01/11/1978

City

YORKVILLE

State

Zip

43971

County

OHIO

Ever Disciplined

LastModifiedDate

10/14/2005