RUDOLPHO GOMEZ - Occupational Therapist License in Arizona | # 056002960

RUDOLPHO GOMEZ

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056002960

License Status

NOT RENEWED

Business

N

First Name

RUDOLPHO

Last Name

GOMEZ

Business Name

RUDOLPHO GOMEZ

Original Issue Date

09/21/1992

Effective Date

02/27/2002

Expiration Date

12/31/2001

State

AZ

Ever Disciplined

N

LastModifiedDate

09/11/2005