License holder summary

SAMUEL T GUSTAFSON is a Occupational Therapist licensed to practice in Pennsylvania. The address on file for SAMUEL T GUSTAFSON is Sewanee TN 37375. This licensed professional license is current. The license was granted 02/10/1994 and expired on 06/30/2015.

Pennsylvania

Department of State

SAMUEL T GUSTAFSON
Occupational Therapist
License number
OC003667L
Date granted
02/10/1994
Date expires
06/30/2015
Class
Occupational Therapist
Status
Active
Address
Sewanee TN 37375
palicensing.org
ID 16923975
LAST UPDATED 2024-03-25 11:04:24 UTC

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