The holder whose full name is COSCOLLUELA, MARILU DEFANTE,come from WEST ORANGE NJ,hold the Physical Therapist license(NO.05004062A) which status is Expired.
| Name | COSCOLLUELA, MARILU DEFANTE |
|---|---|
| License Number | 05004062A |
| License Type | Physical Therapist |
| License Status | Expired |
| City | WEST ORANGE |
| State | NJ |