KRISTA FERGUSON VAN DER LAAN Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070013814

License Status

ACTIVE

Business

First Name

KRISTA

Middle

FERGUSON

Last Name

VAN DER LAAN

Business Name

KRISTA FERGUSON VAN DER LAAN

Original Issue Date

02/27/2004

Effective Date

08/23/2024

Expiration Date

09/30/2026

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

08/23/2024