JEAN MARIE LANE Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070005085

License Status

NOT RENEWED

Business

First Name

JEAN MARIE

Last Name

LANE

Business Name

JEAN MARIE LANE

Original Issue Date

03/28/1987

Effective Date

03/28/1987

Expiration Date

09/30/1998

City

EVANSTON

State

Zip

60202

County

COOK

Ever Disciplined

LastModifiedDate

10/14/2005