PAUL R LANE - Physical Therapist License in Illinois | # 160005220

PAUL R LANE

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160005220

License Status

INACTIVE

Business

N

First Name

PAUL

Middle

R

Last Name

LANE

Business Name

PAUL R LANE

Original Issue Date

07/28/2009

Effective Date

07/12/2013

Expiration Date

09/30/2015

State

IL

Ever Disciplined

N

LastModifiedDate

07/06/2015