RONDA DEE BERRY Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160006473

License Status

NOT RENEWED

Business

First Name

RONDA

Middle

DEE

Last Name

BERRY

Business Name

RONDA DEE BERRY

Original Issue Date

08/02/2013

Effective Date

09/19/2019

Expiration Date

01/31/2022

City

GLEN CARBON

State

Zip

62031

County

MADISON

Ever Disciplined

LastModifiedDate

05/19/2022