DIANA L BURR-BERGESON Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070005740

License Status

INACTIVE

Business

First Name

DIANA L

Last Name

BURR-BERGESON

Business Name

DIANA L BURR-BERGESON

Original Issue Date

04/21/1989

Effective Date

04/21/1989

Expiration Date

09/30/1990

City

BEAVERTON

State

Zip

97005

County

OREGON

Ever Disciplined

LastModifiedDate

10/14/2005