SUSANNE H BERGERON Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070010461

License Status

NOT RENEWED

Business

First Name

SUSANNE H

Last Name

BERGERON

Business Name

SUSANNE H BERGERON

Original Issue Date

02/09/1998

Effective Date

11/07/2014

Expiration Date

09/30/2016

City

EVANSTON

State

Zip

60202

County

COOK

Ever Disciplined

LastModifiedDate

11/26/2016