LUCY BERGERON SLADE Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070010343

License Status

NOT RENEWED

Business

First Name

LUCY BERGERON

Last Name

SLADE

Business Name

LUCY BERGERON SLADE

Original Issue Date

11/14/1997

Effective Date

11/14/1997

Expiration Date

09/30/2004

City

DOWNERS GROVE

State

Zip

60515

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/17/2005