MARK ANTHONY L COSTALES
Physical Therapist


Address: 119 Mt. Kitanlad St. Patag, Cagayan De Oro City, 9000

MARK ANTHONY L COSTALES (Credential# 694085) is licensed (Physical Therapist) with Connecticut Department of Consumer Protection. The license effective date is December 1, 2009. The license expiration date date is November 30, 2010. The license status is INACTIVE.

Business Overview

MARK ANTHONY L COSTALES is licensed with the Department of Consumer Protection of Connecticut. The credential number is #14.008510. The credential type is physical therapist. The effective date is December 1, 2009. The expiration date is November 30, 2010. The business address is 119 Mt. Kitanlad St. Patag, Cagayan De Oro City, 9000. The current status is inactive.

Basic Information

Licensee Name MARK ANTHONY L COSTALES
Credential ID 694085
Credential Number 14.008510
Credential Type Physical Therapist
Business Address 119 Mt. Kitanlad St. Patag
Cagayan De Oro City
9000
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2009-03-26
Effective Date 2009-12-01
Expiration Date 2010-11-30
Refresh Date 2011-03-02

Office Location

Street Address 119 Mt. Kitanlad St. Patag
City Cagayan De Oro City
Zip Code 9000

Competitor

Search similar business entities

City Cagayan De Oro City
Zip Code 9000
License Type Physical Therapist
License Type + County Physical Therapist + Cagayan De Oro City

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Dataset Information

Data Provider Connecticut Department of Consumer Protection
Jurisdiction Connecticut
Related Datasets Connecticut Business Registrations, Connecticut Child Care Facilities

This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).

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