JACQUELINE COSTELLO Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056015026

License Status

NOT RENEWED

Business

First Name

JACQUELINE

Last Name

COSTELLO

Business Name

JACQUELINE COSTELLO

Original Issue Date

08/01/2022

Effective Date

08/01/2022

Expiration Date

12/31/2023

City

PADUCAH

State

Zip

42003

Ever Disciplined

LastModifiedDate

03/28/2024