Wisconsin
Department of Safety and Professional Services
Nystrom, Derek S
Physical Therapist Assistant
License number
2176-19
Date granted
07/28/2014
Date expires
02/28/2017
Class
Physical Therapist Assistant
Status
Active
wisconsinlicensing.org
ID 36502634
LAST UPDATED 2024-03-05 00:40:59 UTC
LAST UPDATED 2024-03-05 00:40:59 UTC
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