ERIC E LANE Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160002304

License Status

NOT RENEWED

Business

First Name

ERIC E

Last Name

LANE

Business Name

ERIC E LANE

Original Issue Date

09/27/1995

Effective Date

09/27/1995

Expiration Date

09/30/1997

City

ALBANY

State

Zip

31707

County

GEORGIA

Ever Disciplined

LastModifiedDate

10/14/2005