JENNIFER S LANE - Physical Therapist License in Illinois | # 070013198

JENNIFER S LANE

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070013198

License Status

NOT RENEWED

Business

N

First Name

JENNIFER

Middle

S

Last Name

LANE

Business Name

JENNIFER S LANE

Original Issue Date

09/09/2002

Effective Date

09/09/2002

Expiration Date

09/30/2004

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005