CHARLISELLE ANTONIO GAMAD Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056011784

License Status

NOT RENEWED

Business

First Name

CHARLISELLE

Middle

ANTONIO

Last Name

GAMAD

Business Name

CHARLISELLE ANTONIO GAMAD

Original Issue Date

12/12/2016

Effective Date

12/12/2016

Expiration Date

12/31/2017

City

CORNING

State

Zip

14830

Ever Disciplined

LastModifiedDate

04/10/2018