TERRI E GUSTAFSON Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070006793

License Status

ACTIVE

Business

First Name

TERRI E

Last Name

GUSTAFSON

Business Name

TERRI E GUSTAFSON

Original Issue Date

01/14/1992

Effective Date

08/12/2024

Expiration Date

09/30/2026

City

SPRINGFIELD

State

Zip

62711

County

SANGAMON

Ever Disciplined

LastModifiedDate

08/12/2024