EDITH L LANE Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070000137

License Status

NOT RENEWED

Business

First Name

EDITH L

Last Name

LANE

Business Name

EDITH L LANE

Original Issue Date

01/01/1998

City

SAN DIEGO

State

Zip

92128

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

10/14/2005