The holder whose full name is Costa, Donna Sue,come from Pekin IL,hold the Phys Ther Assistant license(NO.06000480A) which status is Expired.
| Name | Costa, Donna Sue |
|---|---|
| License Number | 06000480A |
| License Type | Phys Ther Assistant |
| License Status | Expired |
| City | Pekin |
| State | IL |