ERIC E LANE - Physical Therapist License in Georgia | # 160002304

ERIC E LANE

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160002304

License Status

NOT RENEWED

Business

N

First Name

ERIC E

Last Name

LANE

Business Name

ERIC E LANE

Original Issue Date

09/27/1995

Effective Date

09/27/1995

Expiration Date

09/30/1997

State

GA

Ever Disciplined

N

LastModifiedDate

10/14/2005