PAUL R LANE Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160005220

License Status

INACTIVE

Business

First Name

PAUL

Middle

Last Name

LANE

Business Name

PAUL R LANE

Original Issue Date

07/28/2009

Effective Date

07/12/2013

Expiration Date

09/30/2015

City

MOUNT VERNON

State

Zip

62864

County

JEFFERSON

Ever Disciplined

LastModifiedDate

07/06/2015