STEPHANIE D FADALE Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096002028

License Status

NOT RENEWED

Business

First Name

STEPHANIE

Middle

Last Name

FADALE

Business Name

STEPHANIE D FADALE

Original Issue Date

11/19/2004

Effective Date

11/19/2004

Expiration Date

05/31/2006

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

07/17/2006