DONNA S COSTA - Physical Therapist License in Illinois | # 160000851

DONNA S COSTA

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160000851

License Status

NOT RENEWED

Business

N

First Name

DONNA S

Last Name

COSTA

Business Name

DONNA S COSTA

Original Issue Date

10/30/1991

Effective Date

11/19/2021

Expiration Date

09/30/2023

State

IL

Ever Disciplined

N

LastModifiedDate

02/02/2024