DALTON J BERGERON Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070025202

License Status

ACTIVE

Business

First Name

DALTON

Middle

Last Name

BERGERON

Business Name

DALTON J BERGERON

Original Issue Date

06/17/2020

Effective Date

08/07/2024

Expiration Date

09/30/2026

City

DARIEN

State

Zip

60561

County

DUPAGE

Ever Disciplined

LastModifiedDate

08/07/2024