AMBER PAULINE COSTELLO - Occupational Therapist License in Illinois | # 056007063

AMBER PAULINE COSTELLO

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056007063

License Status

NOT RENEWED

Business

N

First Name

AMBER

Middle

PAULINE

Last Name

COSTELLO

Business Name

AMBER PAULINE COSTELLO

Original Issue Date

12/09/2003

Effective Date

12/05/2011

Expiration Date

12/31/2013

State

IL

Ever Disciplined

N

LastModifiedDate

02/19/2014