TONYA D LANE Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160001782

License Status

INACTIVE

Business

First Name

TONYA D

Last Name

LANE

Business Name

TONYA D LANE

Original Issue Date

09/27/1993

Effective Date

09/27/1993

Expiration Date

09/30/2003

City

TRIVOLI

State

Zip

61569

County

PEORIA

Ever Disciplined

LastModifiedDate

10/17/2005