BETH ERICA NYSTROM Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070013612

License Status

ACTIVE

Business

First Name

BETH

Middle

ERICA

Last Name

NYSTROM

Business Name

BETH ERICA NYSTROM

Original Issue Date

09/03/2003

Effective Date

08/21/2024

Expiration Date

09/30/2026

City

CRYSTAL LAKE

State

Zip

60014

County

MCHENRY

Ever Disciplined

LastModifiedDate

08/21/2024