KRISTA L CARLSON Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070025089

License Status

ACTIVE

Business

First Name

KRISTA

Middle

Last Name

CARLSON

Business Name

KRISTA L CARLSON

Original Issue Date

05/11/2020

Effective Date

07/17/2024

Expiration Date

09/30/2026

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

07/17/2024