SCOTT CHARLES GUSTAVESON Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160006770

License Status

NOT RENEWED

Business

First Name

SCOTT

Middle

CHARLES

Last Name

GUSTAVESON

Business Name

SCOTT CHARLES GUSTAVESON

Original Issue Date

06/12/2014

Effective Date

06/12/2014

Expiration Date

09/30/2015

City

NAPERVILLE

State

Zip

60540

County

DUPAGE

Ever Disciplined

LastModifiedDate

11/03/2015