STEPHANIE D FADALE - Athletic Trainer License in Illinois | # 096002028

STEPHANIE D FADALE

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096002028

License Status

NOT RENEWED

Business

N

First Name

STEPHANIE

Middle

D

Last Name

FADALE

Business Name

STEPHANIE D FADALE

Original Issue Date

11/19/2004

Effective Date

11/19/2004

Expiration Date

05/31/2006

State

IL

Ever Disciplined

N

LastModifiedDate

07/17/2006