SUSANNE H BERGERON - Physical Therapist License in Illinois | # 070010461

SUSANNE H BERGERON

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070010461

License Status

NOT RENEWED

Business

N

First Name

SUSANNE H

Last Name

BERGERON

Business Name

SUSANNE H BERGERON

Original Issue Date

02/09/1998

Effective Date

11/07/2014

Expiration Date

09/30/2016

State

IL

Ever Disciplined

N

LastModifiedDate

11/26/2016