GARY J KISTENFEGER Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070005952

License Status

ACTIVE

Business

First Name

GARY J

Last Name

KISTENFEGER

Business Name

GARY J KISTENFEGER

Original Issue Date

01/30/1990

Effective Date

09/15/2024

Expiration Date

09/30/2026

City

OTTAWA

State

Zip

61350

County

LA SALLE

Ever Disciplined

LastModifiedDate

09/15/2024