AMANDA N WALSTROM Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070017338

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

Last Name

WALSTROM

Business Name

AMANDA N WALSTROM

Original Issue Date

08/13/2009

Effective Date

08/20/2010

Expiration Date

09/30/2012

City

ELBURN

State

Zip

60119

County

KANE

Ever Disciplined

LastModifiedDate

01/16/2013