LANE THOMAS LA CLAIR Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070014176

License Status

NOT RENEWED

Business

First Name

LANE

Middle

THOMAS

Last Name

LA CLAIR

Business Name

LANE THOMAS LA CLAIR

Original Issue Date

10/04/2004

Effective Date

08/31/2012

Expiration Date

09/30/2014

City

RACINE

State

Zip

53406

County

WISCONSIN

Ever Disciplined

LastModifiedDate

11/17/2014