NANCY I COSTELLO Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070004346

License Status

ACTIVE

Business

First Name

NANCY I

Last Name

COSTELLO

Business Name

NANCY I COSTELLO

Original Issue Date

12/28/1984

Effective Date

07/09/2024

Expiration Date

09/30/2026

City

PARK RIDGE

State

Zip

60068

County

COOK

Ever Disciplined

LastModifiedDate

07/09/2024