KRISTINE ELIZABETH GUSTAFSON Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056009483

License Status

ACTIVE

Business

First Name

KRISTINE

Middle

ELIZABETH

Last Name

GUSTAFSON

Business Name

KRISTINE ELIZABETH GUSTAFSON

Original Issue Date

09/01/2011

Effective Date

12/31/2025

Expiration Date

12/31/2027

City

ALAMOSA

State

Zip

81101

Ever Disciplined

LastModifiedDate

12/31/2025