LANE THOMAS LA CLAIR - Physical Therapist License in Wisconsin | # 070014176

LANE THOMAS LA CLAIR

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070014176

License Status

NOT RENEWED

Business

N

First Name

LANE

Middle

THOMAS

Last Name

LA CLAIR

Business Name

LANE THOMAS LA CLAIR

Original Issue Date

10/04/2004

Effective Date

08/31/2012

Expiration Date

09/30/2014

State

WI

Ever Disciplined

N

LastModifiedDate

11/17/2014