TRACY LYNN GENTRY - Occupational Therapist License in Illinois | # 056006431

TRACY LYNN GENTRY

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056006431

License Status

NOT RENEWED

Business

N

First Name

TRACY

Middle

LYNN

Last Name

GENTRY

Business Name

TRACY LYNN GENTRY

Original Issue Date

03/22/2002

Effective Date

12/05/2003

Expiration Date

12/31/2005

State

IL

Ever Disciplined

N

LastModifiedDate

02/16/2006