COLETA K LANE Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056001388

License Status

INACTIVE

Business

First Name

COLETA K

Last Name

LANE

Business Name

COLETA K LANE

Original Issue Date

10/02/1985

Expiration Date

12/31/1995

City

ALBANY

State

Zip

31707

County

GEORGIA

Ever Disciplined

LastModifiedDate

07/28/2005