MARILYN S FERGEN Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070003282

License Status

INACTIVE

Business

First Name

MARILYN S

Last Name

FERGEN

Business Name

MARILYN S FERGEN

Original Issue Date

12/09/1980

Effective Date

08/15/2014

Expiration Date

09/30/2016

City

CHICAGO

State

Zip

60610

County

COOK

Ever Disciplined

LastModifiedDate

07/06/2016