Dennis Thaddeus De Costa
ExpiredIllinois license 045003432
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 045003432
- Status
- Expired
- First issued
- July 29, 2009
- Expired
- July 29, 2010
- License holder
- Dennis Thaddeus De Costa
- Entity type
- Individual
Classifications
- Licensed Nursing Home Administrator Temporary Other Health Care
More from the license record
- Specialty
- Non Limited
- Current term began
- 07/29/2009
Contact
White Bear Lk, MN 55110