STACEY MARIE LANE - Physical Therapist License in Illinois | # 070018155

STACEY MARIE LANE

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070018155

License Status

ACTIVE

Business

N

First Name

STACEY

Middle

MARIE

Last Name

LANE

Business Name

STACEY MARIE LANE

Original Issue Date

09/29/2010

Effective Date

08/21/2024

Expiration Date

09/30/2026

State

IL

Ever Disciplined

N

LastModifiedDate

08/21/2024