BETHANY L COSTA Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070015692

License Status

NOT RENEWED

Business

First Name

BETHANY

Middle

Last Name

COSTA

Business Name

BETHANY L COSTA

Original Issue Date

04/04/2007

Effective Date

04/04/2007

Expiration Date

09/30/2008

City

CUMBERLAND

State

Zip

02864

County

RHODE ISLAND

Ever Disciplined

LastModifiedDate

11/06/2008