MICHAEL CONRAD LANE DC - Medical Doctor License in Utah | # 038003678

MICHAEL CONRAD LANE DC

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED CHIROPRACTIC PHYSICIAN

License Number

038003678

License Status

INACTIVE

Business

N

First Name

MICHAEL CONRAD

Last Name

LANE

Suffix

DC

Business Name

MICHAEL CONRAD LANE DC

Original Issue Date

07/21/1977

Effective Date

07/21/1977

Expiration Date

07/31/1987

State

UT

Ever Disciplined

N

LastModifiedDate

09/21/2006