TRACY LYNN LANE Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057003623

License Status

ACTIVE

Business

First Name

TRACY

Middle

LYNN

Last Name

LANE

Business Name

TRACY LYNN LANE

Original Issue Date

07/30/2012

Effective Date

12/21/2025

Expiration Date

12/31/2027

City

IUKA

State

Zip

62849

County

MARION

Ever Disciplined

LastModifiedDate

12/21/2025