CHARLIE C COSTA Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070008802

License Status

NOT RENEWED

Business

First Name

CHARLIE C

Last Name

COSTA

Business Name

CHARLIE C COSTA

Original Issue Date

05/06/1995

Effective Date

05/06/1995

Expiration Date

09/30/1996

City

HOUSTON

State

Zip

75238

County

TEXAS

Ever Disciplined

LastModifiedDate

10/14/2005