AMY ELIZABETH BERGMAN - Physical Therapist License in Illinois | # 160007967

AMY ELIZABETH BERGMAN

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160007967

License Status

NOT RENEWED

Business

N

First Name

AMY

Middle

ELIZABETH

Last Name

BERGMAN

Business Name

AMY ELIZABETH BERGMAN

Original Issue Date

08/09/2017

Effective Date

09/18/2021

Expiration Date

09/30/2023

State

IL

Ever Disciplined

N

LastModifiedDate

02/02/2024