JOHN C COSTELLO Orthotist, Prosthetist, and Pedorthist License verification

Business Entity

NOT RENEWED

License Type

Orthotist, Prosthetist, and Pedorthist

Description

LICENSED PROSTHETIST

License Number

211000167

License Status

NOT RENEWED

Business

First Name

JOHN

Middle

Last Name

COSTELLO

Business Name

JOHN C COSTELLO

Original Issue Date

01/28/2003

Effective Date

01/28/2003

Expiration Date

09/30/2005

City

WATERLOO

State

Zip

50701

County

IOWA

Ever Disciplined

LastModifiedDate

05/30/2006