JODEE KAY BERG Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070010427

License Status

NOT RENEWED

Business

First Name

JODEE KAY

Last Name

BERG

Business Name

JODEE KAY BERG

Original Issue Date

01/12/1998

Effective Date

01/12/1998

Expiration Date

09/30/2000

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Ever Disciplined

LastModifiedDate

10/17/2005