BERNICE R JORGENSEN Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070000081

License Status

NOT RENEWED

Business

First Name

BERNICE R

Last Name

JORGENSEN

Business Name

BERNICE R JORGENSEN

Original Issue Date

01/01/1998

Expiration Date

09/30/1984

City

EVANSTON

State

Zip

60202

County

COOK

Ever Disciplined

LastModifiedDate

10/14/2005