MARK LEROY GERBERDING Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070003579

License Status

ACTIVE

Business

First Name

MARK LEROY

Last Name

GERBERDING

Business Name

MARK LEROY GERBERDING

Original Issue Date

12/11/1981

Effective Date

08/19/2024

Expiration Date

09/30/2026

City

SPRINGFIELD

State

Zip

62711

County

SANGAMON

Ever Disciplined

LastModifiedDate

08/19/2024