BRAXTON A LANE Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160010285

License Status

ACTIVE

Business

First Name

BRAXTON

Middle

Last Name

LANE

Business Name

BRAXTON A LANE

Original Issue Date

11/01/2024

Effective Date

07/08/2025

Expiration Date

09/30/2027

City

GALATIA

State

Zip

62935

County

SALINE

Ever Disciplined

LastModifiedDate

07/08/2025