KATHRYN L GUSTAFSON Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160005465

License Status

NOT RENEWED

Business

First Name

KATHRYN

Middle

Last Name

GUSTAFSON

Business Name

KATHRYN L GUSTAFSON

Original Issue Date

07/28/2010

Effective Date

07/24/2019

Expiration Date

01/31/2022

City

PLAINFIELD

State

Zip

46168

Ever Disciplined

LastModifiedDate

05/19/2022