CATHERINE CONSTANCE COSTELLO Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056006739

License Status

INACTIVE

Business

First Name

CATHERINE

Middle

CONSTANCE

Last Name

COSTELLO

Business Name

CATHERINE CONSTANCE COSTELLO

Original Issue Date

11/27/2002

Effective Date

10/10/2007

Expiration Date

12/31/2009

City

SAINT LOUIS

State

Zip

63129

Ever Disciplined

LastModifiedDate

10/02/2009