CATHERINE CONSTANCE COSTELLO - Occupational Therapist License in Missouri | # 056006739

CATHERINE CONSTANCE COSTELLO

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056006739

License Status

INACTIVE

Business

N

First Name

CATHERINE

Middle

CONSTANCE

Last Name

COSTELLO

Business Name

CATHERINE CONSTANCE COSTELLO

Original Issue Date

11/27/2002

Effective Date

10/10/2007

Expiration Date

12/31/2009

State

MO

Ever Disciplined

N

LastModifiedDate

10/02/2009