BERNADETTE SAN JUAN PETALBER Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070011203

License Status

ACTIVE

Business

First Name

BERNADETTE

Middle

SAN JUAN

Last Name

PETALBER

Business Name

BERNADETTE SAN JUAN PETALBER

Original Issue Date

03/12/1999

Effective Date

09/20/2024

Expiration Date

09/30/2026

City

CHERRY VALLEY

State

Zip

61016

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/20/2024