ROBERTA M LANE - Physical Therapist License in Missouri | # 160001974

ROBERTA M LANE

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160001974

License Status

INACTIVE

Business

N

First Name

ROBERTA M

Last Name

LANE

Business Name

ROBERTA M LANE

Original Issue Date

09/14/1994

Effective Date

09/09/2009

Expiration Date

09/30/2011

State

MO

Ever Disciplined

N

LastModifiedDate

07/07/2011