CHRISTINE M GUSTAFSON Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070003815

License Status

ACTIVE

Business

First Name

CHRISTINE M

Last Name

GUSTAFSON

Business Name

CHRISTINE M GUSTAFSON

Original Issue Date

11/08/1982

Effective Date

09/23/2024

Expiration Date

09/30/2026

City

ROSCOE

State

Zip

61073

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

03/18/2026