LISA C GUSTAFSON - Physical Therapist License in Illinois | # 160003161

LISA C GUSTAFSON

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160003161

License Status

ACTIVE

Business

N

First Name

LISA

Middle

C

Last Name

GUSTAFSON

Business Name

LISA C GUSTAFSON

Original Issue Date

10/23/1998

Effective Date

09/19/2025

Expiration Date

09/30/2027

State

IL

Ever Disciplined

N

LastModifiedDate

09/19/2025