REBECCA J COSTELLO Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160001635

License Status

NOT RENEWED

Business

First Name

REBECCA

Middle

Last Name

COSTELLO

Business Name

REBECCA J COSTELLO

Original Issue Date

01/20/1993

Effective Date

07/07/2017

Expiration Date

09/30/2019

City

TAMAROA

State

Zip

62888

County

PERRY

Ever Disciplined

LastModifiedDate

01/13/2020