JERVIE MAY BERGADO CALUBAQUIB Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070017732

License Status

NOT RENEWED

Business

First Name

JERVIE MAY

Middle

BERGADO

Last Name

CALUBAQUIB

Business Name

JERVIE MAY BERGADO CALUBAQUIB

Original Issue Date

04/09/2010

Effective Date

07/16/2010

Expiration Date

09/30/2012

City

GRAYSLAKE

State

Zip

60030

County

LAKE

Ever Disciplined

LastModifiedDate

01/16/2013