KIMBERLY A LANE Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070006356

License Status

INACTIVE

Business

First Name

KIMBERLY A

Last Name

LANE

Business Name

KIMBERLY A LANE

Original Issue Date

01/18/1991

Effective Date

01/18/1991

Expiration Date

09/30/2000

City

DOLTON

State

Zip

60419

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005