MICHAEL J COSTELLO - Physical Therapist License in Wisconsin | # 070001292

MICHAEL J COSTELLO

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070001292

License Status

INACTIVE

Business

N

First Name

MICHAEL J

Last Name

COSTELLO

Business Name

MICHAEL J COSTELLO

Original Issue Date

01/01/1998

Expiration Date

09/30/1990

State

WI

Ever Disciplined

N

LastModifiedDate

10/14/2005