MICHAEL A FAHEY SR Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160001221

License Status

NOT RENEWED

Business

First Name

MICHAEL A

Last Name

FAHEY SR

Business Name

MICHAEL A FAHEY SR

Original Issue Date

12/20/1991

Effective Date

07/24/2013

Expiration Date

09/30/2015

City

BUNKER HILL

State

Zip

62014

County

MACOUPIN

Ever Disciplined

LastModifiedDate

11/03/2015