MICHAEL KYLE LANE Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070022214

License Status

ACTIVE

Business

First Name

MICHAEL

Middle

KYLE

Last Name

LANE

Business Name

MICHAEL KYLE LANE

Original Issue Date

07/05/2016

Effective Date

09/06/2024

Expiration Date

09/30/2026

City

GERMANTOWN HILLS

State

Zip

61548

County

WOODFORD

Ever Disciplined

LastModifiedDate

09/06/2024