MICHAEL J COSTELLO Physical Therapist License verification

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070001292

License Status

INACTIVE

Business

First Name

MICHAEL J

Last Name

COSTELLO

Business Name

MICHAEL J COSTELLO

Original Issue Date

01/01/1998

Expiration Date

09/30/1990

City

WAUWATOSA

State

Zip

53213

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/14/2005