DENNIS THADDEUS DE COSTA - Nursing Home Administrator License in Minnesota | # 045003432

DENNIS THADDEUS DE COSTA

Business Entity

EXPIRED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045003432

License Status

EXPIRED

Business

N

First Name

DENNIS

Middle

THADDEUS

Last Name

DE COSTA

Business Name

DENNIS THADDEUS DE COSTA

Original Issue Date

07/29/2009

Effective Date

07/29/2009

Expiration Date

07/29/2010

State

MN

Specialty/Qualifier

NON LIMITED

Ever Disciplined

N

LastModifiedDate

01/04/2018