JEREMY SPENCER GOOCH Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057004264

License Status

NOT RENEWED

Business

First Name

JEREMY

Middle

SPENCER

Last Name

GOOCH

Business Name

JEREMY SPENCER GOOCH

Original Issue Date

04/27/2015

Effective Date

04/27/2015

Expiration Date

12/31/2015

City

COLORADO SPRINGS

State

Zip

80903

County

COLORADO

Ever Disciplined

LastModifiedDate

02/08/2016