ROBERTA M LANE Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160001974

License Status

INACTIVE

Business

First Name

ROBERTA M

Last Name

LANE

Business Name

ROBERTA M LANE

Original Issue Date

09/14/1994

Effective Date

09/09/2009

Expiration Date

09/30/2011

City

FENTON

State

Zip

63026

County

MISSOURI

Ever Disciplined

LastModifiedDate

07/07/2011