GINA M DOMENICI - Occupational Therapist License in Tennessee | # 056004455

GINA M DOMENICI

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056004455

License Status

INACTIVE

Business

N

First Name

GINA

Middle

M

Last Name

DOMENICI

Business Name

GINA M DOMENICI

Original Issue Date

05/03/1997

Effective Date

10/25/2005

Expiration Date

12/31/2007

State

TN

Ever Disciplined

N

LastModifiedDate

07/03/2008