MICHAEL ANTHONY KOSTESKIE - Occupational Therapist License in Indiana | # 056002162

MICHAEL ANTHONY KOSTESKIE

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056002162

License Status

NOT RENEWED

Business

N

First Name

MICHAEL ANTHONY

Last Name

KOSTESKIE

Business Name

MICHAEL ANTHONY KOSTESKIE

Original Issue Date

05/31/1989

Effective Date

01/27/2004

Expiration Date

12/31/2003

State

IN

Ever Disciplined

N

LastModifiedDate

09/11/2005