Iowa
Professional Licensing Bureau
Jacob Coy Costello
Physical And Occupational Therapy - Physical Therapist
License number
004086
Date granted
06/06/2007
Date expires
02/15/2011
Class
Physical And Occupational Therapy - Physical Therapist
Status
Inactive
Address
1006 s 51st ave OMAHA NE 68106
iowalicenses.org
ID 24174100
LAST UPDATED 2024-02-10 09:43:22 UTC
LAST UPDATED 2024-02-10 09:43:22 UTC
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