TRACY LYNN GUMMOE Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057002082

License Status

NOT RENEWED

Business

First Name

TRACY

Middle

LYNN

Last Name

GUMMOE

Business Name

TRACY LYNN GUMMOE

Original Issue Date

09/18/2000

Effective Date

02/27/2002

Expiration Date

12/31/2001

City

FLORISSANT

State

Zip

63031

Ever Disciplined

LastModifiedDate

11/16/2011