PAUL R LANE Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085007905

License Status

ACTIVE

Business

First Name

PAUL

Middle

Last Name

LANE

Business Name

PAUL R LANE

Original Issue Date

08/29/2020

Effective Date

02/15/2026

Expiration Date

03/01/2028

City

WAYNE CITY

State

Zip

62895

County

WAYNE

Ever Disciplined

LastModifiedDate

02/15/2026