Stacy Camille Costa
ExpiredCalifornia license 13972
License
- Licensed by
- California Board of Occupational Therapy
- License number
- 13972
- Status
- Expired (Delinquent)
- First issued
- November 12, 2013
- Expired
- September 30, 2022
- License holder
- Stacy Camille Costa
- Entity type
- Individual
Classifications
- Occupational Therapist Therapy & Rehabilitation
More from the license record
- License type code
- 7101
Contact
974 Twin Brook Dr
San Jose, CA 95126
San Jose, CA 95126
Santa Clara County