MYLES J BERG Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070018584

License Status

ACTIVE

Business

First Name

MYLES

Middle

Last Name

BERG

Business Name

MYLES J BERG

Original Issue Date

07/14/2011

Effective Date

08/02/2024

Expiration Date

09/30/2026

City

MARSEILLES

State

Zip

61341

County

LA SALLE

Ever Disciplined

LastModifiedDate

08/02/2024