MICHAEL CONRAD LANE DC Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED CHIROPRACTIC PHYSICIAN

License Number

038003678

License Status

INACTIVE

Business

First Name

MICHAEL CONRAD

Last Name

LANE

Suffix

Business Name

MICHAEL CONRAD LANE DC

Original Issue Date

07/21/1977

Effective Date

07/21/1977

Expiration Date

07/31/1987

City

SALT LAKE CITY

State

Zip

84102

County

UTAH

Ever Disciplined

LastModifiedDate

09/21/2006