BERNICE R JORGENSEN - Physical Therapist License in Illinois | # 070000081

BERNICE R JORGENSEN

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070000081

License Status

NOT RENEWED

Business

N

First Name

BERNICE R

Last Name

JORGENSEN

Business Name

BERNICE R JORGENSEN

Original Issue Date

01/01/1998

Expiration Date

09/30/1984

State

IL

Ever Disciplined

N

LastModifiedDate

10/14/2005