RICHARD D LATANE Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070009201

License Status

ACTIVE

Business

First Name

RICHARD D

Last Name

LATANE

Business Name

RICHARD D LATANE

Original Issue Date

01/02/1996

Effective Date

09/09/2024

Expiration Date

09/30/2026

City

SPRINGFIELD

State

Zip

37172

Ever Disciplined

LastModifiedDate

09/09/2024