AMBER PAULINE COSTELLO Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056007063

License Status

NOT RENEWED

Business

First Name

AMBER

Middle

PAULINE

Last Name

COSTELLO

Business Name

AMBER PAULINE COSTELLO

Original Issue Date

12/09/2003

Effective Date

12/05/2011

Expiration Date

12/31/2013

City

LOAMI

State

Zip

62661

County

SANGAMON

Ever Disciplined

LastModifiedDate

02/19/2014