TERRY LEE GOHEEN II Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057003047

License Status

INACTIVE

Business

First Name

TERRY

Middle

LEE

Last Name

GOHEEN II

Business Name

TERRY LEE GOHEEN II

Original Issue Date

02/03/2009

Effective Date

12/07/2015

Expiration Date

12/31/2017

City

DOW

State

Zip

62022

County

JERSEY

Ever Disciplined

LastModifiedDate

10/06/2017