DILLON JAMES FEDAK Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070022752

License Status

NOT RENEWED

Business

First Name

DILLON

Middle

JAMES

Last Name

FEDAK

Business Name

DILLON JAMES FEDAK

Original Issue Date

12/12/2016

Effective Date

12/12/2016

Expiration Date

09/30/2018

City

NIAGARA FALLS

State

Zip

14304

County

NEW YORK

Ever Disciplined

LastModifiedDate

12/05/2018