JASON HAROLD BERGMANN Orthotist, Prosthetist, and Pedorthist License verification

Business Entity

ACTIVE

License Type

Orthotist, Prosthetist, and Pedorthist

Description

LICENSED PEDORTHIST

License Number

212000209

License Status

ACTIVE

Business

First Name

JASON

Middle

HAROLD

Last Name

BERGMANN

Business Name

JASON HAROLD BERGMANN

Original Issue Date

10/19/2017

Effective Date

07/03/2025

Expiration Date

09/30/2027

City

LINCOLNSHIRE

State

Zip

60069

County

COOK

Ever Disciplined

LastModifiedDate

07/03/2025