JASON RYAN BERTY Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070012309

License Status

NOT RENEWED

Business

First Name

JASON

Middle

RYAN

Last Name

BERTY

Business Name

JASON RYAN BERTY

Original Issue Date

02/07/2001

Effective Date

10/01/2006

Expiration Date

09/30/2008

City

PLAINFIELD

State

Zip

60586

County

WILL

Ever Disciplined

LastModifiedDate

11/06/2008