JACOB DALE HERBERGER Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070025148

License Status

ACTIVE

Business

First Name

JACOB

Middle

DALE

Last Name

HERBERGER

Business Name

JACOB DALE HERBERGER

Original Issue Date

06/09/2020

Effective Date

08/19/2024

Expiration Date

09/30/2026

City

BOURBONNAIS

State

Zip

60914

County

KANKAKEE

Ever Disciplined

LastModifiedDate

08/19/2024