KRISTINE NIESTROM Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070021763

License Status

NOT RENEWED

Business

First Name

KRISTINE

Last Name

NIESTROM

Business Name

KRISTINE NIESTROM

Original Issue Date

08/19/2015

Effective Date

08/29/2018

Expiration Date

09/30/2020

City

WESTMONT

State

Zip

60559

County

DUPAGE

Ever Disciplined

LastModifiedDate

01/14/2021