SUSAN ELISABETH BERG Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160004779

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

ELISABETH

Last Name

BERG

Business Name

SUSAN ELISABETH BERG

Original Issue Date

06/27/2007

Effective Date

07/05/2007

Expiration Date

09/30/2009

City

HOBART

State

Zip

46342

County

INDIANA

Ever Disciplined

LastModifiedDate

11/04/2009