JEFFREY DAVID BERTA Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070010755

License Status

NOT RENEWED

Business

First Name

JEFFREY DAVID

Last Name

BERTA

Business Name

JEFFREY DAVID BERTA

Original Issue Date

08/21/1998

Effective Date

09/30/2004

Expiration Date

09/30/2006

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

01/25/2007