MARK ANTHONY LU COSTALES Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070017478

License Status

ACTIVE

Business

First Name

MARK

Middle

ANTHONY LU

Last Name

COSTALES

Business Name

MARK ANTHONY LU COSTALES

Original Issue Date

10/16/2009

Effective Date

09/26/2024

Expiration Date

09/30/2026

City

AURORA

State

Zip

60504

County

DUPAGE

Ever Disciplined

LastModifiedDate

09/26/2024