LOGAN HOWARD DANIEL LATVIS Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160010168

License Status

NOT RENEWED

Business

First Name

LOGAN

Middle

HOWARD DANIEL

Last Name

LATVIS

Business Name

LOGAN HOWARD DANIEL LATVIS

Original Issue Date

07/29/2024

Effective Date

07/29/2024

Expiration Date

09/30/2025

City

EAGLE RIVER

State

Zip

54521

Ever Disciplined

LastModifiedDate

01/16/2026