AMY MARIE GOMON Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056009409

License Status

NOT RENEWED

Business

First Name

AMY

Middle

MARIE

Last Name

GOMON

Business Name

AMY MARIE GOMON

Original Issue Date

07/11/2011

Effective Date

12/07/2015

Expiration Date

12/31/2017

City

SHOREWOOD

State

Zip

60404

County

WILL

Ever Disciplined

LastModifiedDate

04/10/2018