BEVERLY A PODGORNY Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160001358

License Status

NOT RENEWED

Business

First Name

BEVERLY A

Last Name

PODGORNY

Business Name

BEVERLY A PODGORNY

Original Issue Date

02/03/1992

Effective Date

08/01/2011

Expiration Date

09/30/2013

City

LYNWOOD

State

Zip

60411

County

COOK

Ever Disciplined

LastModifiedDate

11/12/2013