ALEXANDRIA M BASTIAN Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160007935

License Status

ACTIVE

Business

First Name

ALEXANDRIA

Middle

Last Name

BASTIAN

Business Name

ALEXANDRIA M BASTIAN

Original Issue Date

08/08/2017

Effective Date

09/23/2025

Expiration Date

09/30/2027

City

STOCKTON

State

Zip

61085

County

JO DAVIESS

Ever Disciplined

LastModifiedDate

09/23/2025