BERTHA X GOLEM Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070014584

License Status

ACTIVE

Business

First Name

BERTHA

Middle

Last Name

GOLEM

Business Name

BERTHA X GOLEM

Original Issue Date

08/29/2005

Effective Date

09/23/2024

Expiration Date

09/30/2026

City

ELMHURST

State

Zip

60126

County

DUPAGE

Ever Disciplined

LastModifiedDate

09/23/2024