ILENE BERGMAN Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160002445

License Status

NOT RENEWED

Business

First Name

ILENE

Last Name

BERGMAN

Business Name

ILENE BERGMAN

Original Issue Date

05/21/1996

Effective Date

08/15/2019

Expiration Date

01/31/2022

City

GLENVIEW

State

Zip

60025

County

COOK

Ever Disciplined

LastModifiedDate

05/19/2022