JACQUELINE COSTELLO - Occupational Therapist License in Kentucky | # 056015026

JACQUELINE COSTELLO

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056015026

License Status

NOT RENEWED

Business

N

First Name

JACQUELINE

Last Name

COSTELLO

Business Name

JACQUELINE COSTELLO

Original Issue Date

08/01/2022

Effective Date

08/01/2022

Expiration Date

12/31/2023

State

KY

Ever Disciplined

N

LastModifiedDate

03/28/2024