DAWN M GUSTAFSON Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070016797

License Status

NOT RENEWED

Business

First Name

DAWN

Middle

Last Name

GUSTAFSON

Business Name

DAWN M GUSTAFSON

Original Issue Date

11/06/2008

Effective Date

08/27/2012

Expiration Date

09/30/2014

City

FOREST PARK

State

Zip

60130

County

COOK

Ever Disciplined

LastModifiedDate

11/17/2014