SEAN MICHAEL FADALE Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070014050

License Status

NOT RENEWED

Business

First Name

SEAN

Middle

MICHAEL

Last Name

FADALE

Business Name

SEAN MICHAEL FADALE

Original Issue Date

08/05/2004

Effective Date

07/10/2008

Expiration Date

09/30/2010

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

11/08/2010