LESLIE A BERKEL Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160006466

License Status

NOT RENEWED

Business

First Name

LESLIE

Middle

Last Name

BERKEL

Business Name

LESLIE A BERKEL

Original Issue Date

08/01/2013

Effective Date

08/01/2013

Expiration Date

09/30/2015

City

COLLINSVILLE

State

Zip

62234

County

MADISON

Ever Disciplined

LastModifiedDate

11/03/2015