TRACY LYNN GENTRY Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056006431

License Status

NOT RENEWED

Business

First Name

TRACY

Middle

LYNN

Last Name

GENTRY

Business Name

TRACY LYNN GENTRY

Original Issue Date

03/22/2002

Effective Date

12/05/2003

Expiration Date

12/31/2005

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

02/16/2006