ANNE MARIE FAHNESTOCK Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070015433

License Status

ACTIVE

Business

First Name

ANNE

Middle

MARIE

Last Name

FAHNESTOCK

Business Name

ANNE MARIE FAHNESTOCK

Original Issue Date

11/17/2006

Effective Date

09/13/2024

Expiration Date

09/30/2026

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

09/13/2024