MINGO JOHN ACOSTA Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160005875

License Status

NOT RENEWED

Business

First Name

MINGO

Middle

JOHN

Last Name

ACOSTA

Business Name

MINGO JOHN ACOSTA

Original Issue Date

11/10/2011

Effective Date

11/10/2011

Expiration Date

09/30/2013

City

JEFFERSON CITY

State

Zip

65109

County

MISSOURI

Ever Disciplined

LastModifiedDate

11/12/2013