COLIN LANE DAVIS Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070013339

License Status

NOT RENEWED

Business

First Name

COLIN

Middle

LANE

Last Name

DAVIS

Business Name

COLIN LANE DAVIS

Original Issue Date

12/23/2002

Effective Date

12/23/2002

Expiration Date

09/30/2004

City

DONAHUE

State

Zip

52746

County

IOWA

Ever Disciplined

LastModifiedDate

10/17/2005