ASHLEY E LAKE Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070018784

License Status

INACTIVE

Business

First Name

ASHLEY

Middle

Last Name

LAKE

Business Name

ASHLEY E LAKE

Original Issue Date

09/30/2011

Effective Date

09/22/2014

Expiration Date

09/30/2016

City

CEDAR RAPIDS

State

Zip

52402

Ever Disciplined

LastModifiedDate

07/06/2016