DIANE F COSTULAS - Occupational Therapist License in Pennsylvania | # 056011620

DIANE F COSTULAS

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056011620

License Status

NOT RENEWED

Business

N

First Name

DIANE

Middle

F

Last Name

COSTULAS

Business Name

DIANE F COSTULAS

Original Issue Date

08/17/2016

Effective Date

08/17/2016

Expiration Date

12/31/2017

State

PA

Ever Disciplined

N

LastModifiedDate

04/10/2018