DONNA S COSTA Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160000851

License Status

NOT RENEWED

Business

First Name

DONNA S

Last Name

COSTA

Business Name

DONNA S COSTA

Original Issue Date

10/30/1991

Effective Date

11/19/2021

Expiration Date

09/30/2023

City

STAUNTON

State

Zip

62088

County

MACOUPIN

Ever Disciplined

LastModifiedDate

02/02/2024