CHARLISELLE ANTONIO GAMAD - Occupational Therapist License in New York | # 056011784

CHARLISELLE ANTONIO GAMAD

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056011784

License Status

NOT RENEWED

Business

N

First Name

CHARLISELLE

Middle

ANTONIO

Last Name

GAMAD

Business Name

CHARLISELLE ANTONIO GAMAD

Original Issue Date

12/12/2016

Effective Date

12/12/2016

Expiration Date

12/31/2017

State

NY

Ever Disciplined

N

LastModifiedDate

04/10/2018