TERRY LEE GOHEEN II - Occupational Therapist License in Illinois | # 057003047

TERRY LEE GOHEEN II

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057003047

License Status

INACTIVE

Business

N

First Name

TERRY

Middle

LEE

Last Name

GOHEEN II

Business Name

TERRY LEE GOHEEN II

Original Issue Date

02/03/2009

Effective Date

12/07/2015

Expiration Date

12/31/2017

State

IL

Ever Disciplined

N

LastModifiedDate

10/06/2017