KEVIN MICHAEL GOMEZ BEAUCHEMIN Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160009525

License Status

NOT RENEWED

Business

First Name

KEVIN

Middle

MICHAEL

Last Name

GOMEZ BEAUCHEMIN

Business Name

KEVIN MICHAEL GOMEZ BEAUCHEMIN

Original Issue Date

02/15/2022

Effective Date

02/15/2022

Expiration Date

09/30/2023

City

BOISE

State

Zip

83706

Ever Disciplined

LastModifiedDate

02/02/2024