GINA M DOMENICI Occupational Therapist License verification

Business Entity

INACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056004455

License Status

INACTIVE

Business

First Name

GINA

Middle

Last Name

DOMENICI

Business Name

GINA M DOMENICI

Original Issue Date

05/03/1997

Effective Date

10/25/2005

Expiration Date

12/31/2007

City

BRENTWOOD

State

Zip

37027

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

07/03/2008