MARK E BERGUNDER Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070005914

License Status

ACTIVE

Business

First Name

MARK E

Last Name

BERGUNDER

Business Name

MARK E BERGUNDER

Original Issue Date

01/12/1990

Effective Date

09/21/2024

Expiration Date

09/30/2026

City

NEW LENOX

State

Zip

60451

County

WILL

Ever Disciplined

LastModifiedDate

09/21/2024