TRACY A GOMES Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056010610

License Status

NOT RENEWED

Business

First Name

TRACY

Middle

Last Name

GOMES

Business Name

TRACY A GOMES

Original Issue Date

06/16/2014

Effective Date

11/06/2019

Expiration Date

01/31/2022

City

WEST HARTFORD

State

Zip

06107

County

COOK

Ever Disciplined

LastModifiedDate

05/18/2022