KRISTINE NIESTROM - Physical Therapist License in Illinois | # 070021763

KRISTINE NIESTROM

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070021763

License Status

NOT RENEWED

Business

N

First Name

KRISTINE

Last Name

NIESTROM

Business Name

KRISTINE NIESTROM

Original Issue Date

08/19/2015

Effective Date

08/29/2018

Expiration Date

09/30/2020

State

IL

Ever Disciplined

N

LastModifiedDate

01/14/2021