PAUL R LANE Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****37

License Status

ACTIVE

Business

First Name

PAUL

Middle

Last Name

LANE

Business Name

PAUL R LANE

Original Issue Date

10/19/2020

Effective Date

02/15/2026

Expiration Date

03/01/2028

City

WAYNE CITY

State

Zip

62895

County

WAYNE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/15/2026