GINA G DICOSTANZO - Occupational Therapist License in Wisconsin | # 057000759

GINA G DICOSTANZO

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057000759

License Status

NOT RENEWED

Business

N

First Name

GINA G

Last Name

DICOSTANZO

Business Name

GINA G DICOSTANZO

Original Issue Date

06/12/1991

Effective Date

11/12/2021

Expiration Date

12/31/2023

State

WI

Ever Disciplined

N

LastModifiedDate

03/28/2024