MICHAEL ANTHONY KOSTESKIE Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056002162

License Status

NOT RENEWED

Business

First Name

MICHAEL ANTHONY

Last Name

KOSTESKIE

Business Name

MICHAEL ANTHONY KOSTESKIE

Original Issue Date

05/31/1989

Effective Date

01/27/2004

Expiration Date

12/31/2003

City

OGDEN DUNES PORTAGE

State

Zip

46368

County

INDIANA

Ever Disciplined

LastModifiedDate

09/11/2005