LYNN J BASTUK Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160005870

License Status

ACTIVE

Business

First Name

LYNN

Middle

Last Name

BASTUK

Business Name

LYNN J BASTUK

Original Issue Date

11/07/2011

Effective Date

08/21/2025

Expiration Date

09/30/2027

City

OREGON

State

Zip

61061

Ever Disciplined

LastModifiedDate

08/21/2025