JENNIFER S LANE Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070013198

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

Last Name

LANE

Business Name

JENNIFER S LANE

Original Issue Date

09/09/2002

Effective Date

09/09/2002

Expiration Date

09/30/2004

City

EVANSTON

State

Zip

60201

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005