DIANA E BERG Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160002075

License Status

NOT RENEWED

Business

First Name

DIANA E

Last Name

BERG

Business Name

DIANA E BERG

Original Issue Date

01/18/1995

Effective Date

01/18/1995

Expiration Date

09/30/1999

City

PROSPECT HEIGHTS

State

Zip

60070

County

COOK

Ever Disciplined

LastModifiedDate

10/14/2005