JEFFREY ADAM LANE Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057005491

License Status

ACTIVE

Business

First Name

JEFFREY

Middle

ADAM

Last Name

LANE

Business Name

JEFFREY ADAM LANE

Original Issue Date

10/22/2020

Effective Date

12/31/2025

Expiration Date

12/31/2027

City

LANSING

State

Zip

60438

County

COOK

Ever Disciplined

LastModifiedDate

12/31/2025