ERIC REED GUSTAFSON Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070021112

License Status

ACTIVE

Business

First Name

ERIC

Middle

REED

Last Name

GUSTAFSON

Business Name

ERIC REED GUSTAFSON

Original Issue Date

09/18/2014

Effective Date

09/11/2024

Expiration Date

09/30/2026

City

LONGMONT

State

Zip

80504

Ever Disciplined

LastModifiedDate

09/11/2024