AMANDA N WALSTROM - Physical Therapist License in Illinois | # 070017338

AMANDA N WALSTROM

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070017338

License Status

NOT RENEWED

Business

N

First Name

AMANDA

Middle

N

Last Name

WALSTROM

Business Name

AMANDA N WALSTROM

Original Issue Date

08/13/2009

Effective Date

08/20/2010

Expiration Date

09/30/2012

State

IL

Ever Disciplined

N

LastModifiedDate

01/16/2013