MARK E FEASLINE Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070013322

License Status

NOT RENEWED

Business

First Name

MARK

Middle

Last Name

FEASLINE

Business Name

MARK E FEASLINE

Original Issue Date

12/03/2002

Effective Date

12/03/2002

Expiration Date

09/30/2004

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/17/2005