SARAH M FELLABAUM Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160002062

License Status

NOT RENEWED

Business

First Name

SARAH

Middle

Last Name

FELLABAUM

Business Name

SARAH M FELLABAUM

Original Issue Date

01/18/1995

Effective Date

08/05/2013

Expiration Date

09/30/2015

City

DEKALB

State

Zip

60115

County

DEKALB

Ever Disciplined

LastModifiedDate

11/03/2015