ROBERT A LANE Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057001193

License Status

NOT RENEWED

Business

First Name

ROBERT A

Last Name

LANE

Business Name

ROBERT A LANE

Original Issue Date

09/11/1995

Effective Date

12/02/2019

Expiration Date

01/31/2022

City

PEORIA HEIGHTS

State

Zip

61616

County

PEORIA

Ever Disciplined

LastModifiedDate

05/18/2022