BERNARD FORTIER Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070009308

License Status

NOT RENEWED

Business

First Name

BERNARD

Last Name

FORTIER

Business Name

BERNARD FORTIER

Original Issue Date

01/13/1996

Effective Date

01/13/1996

Expiration Date

09/30/2000

City

ROCHESTER

State

Zip

62563

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/17/2005