SAMANTHA L FALSTAD Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160008707

License Status

ACTIVE

Business

First Name

SAMANTHA

Middle

Last Name

FALSTAD

Business Name

SAMANTHA L FALSTAD

Original Issue Date

08/09/2019

Effective Date

09/17/2025

Expiration Date

09/30/2027

City

WINTHROP HARBOR

State

Zip

60096

Ever Disciplined

LastModifiedDate

09/17/2025