AMY ELIZABETH BERGMAN Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160007967

License Status

NOT RENEWED

Business

First Name

AMY

Middle

ELIZABETH

Last Name

BERGMAN

Business Name

AMY ELIZABETH BERGMAN

Original Issue Date

08/09/2017

Effective Date

09/18/2021

Expiration Date

09/30/2023

City

QUINCY

State

Zip

62301

County

ADAMS

Ever Disciplined

LastModifiedDate

02/02/2024