CARLY M HARSTED Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160006089

License Status

ACTIVE

Business

First Name

CARLY

Middle

Last Name

HARSTED

Business Name

CARLY M HARSTED

Original Issue Date

08/09/2012

Effective Date

09/26/2025

Expiration Date

09/30/2027

City

MARSEILLES

State

Zip

61341

County

LA SALLE

Ever Disciplined

LastModifiedDate

09/26/2025