LISA C GUSTAFSON Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160003161

License Status

ACTIVE

Business

First Name

LISA

Middle

Last Name

GUSTAFSON

Business Name

LISA C GUSTAFSON

Original Issue Date

10/23/1998

Effective Date

09/19/2025

Expiration Date

09/30/2027

City

NASHVILLE

State

Zip

62263

County

WASHINGTON

Ever Disciplined

LastModifiedDate

09/19/2025