MARTINA A GUSTAFSON Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056000665

License Status

ACTIVE

Business

First Name

MARTINA A

Last Name

GUSTAFSON

Business Name

MARTINA A GUSTAFSON

Original Issue Date

07/17/1984

Effective Date

12/11/2025

Expiration Date

12/31/2027

City

CLINTON

State

Zip

61727

Ever Disciplined

LastModifiedDate

12/11/2025