JACQUELINE GOMES Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070008468

License Status

ACTIVE

Business

First Name

JACQUELINE

Last Name

GOMES

Business Name

JACQUELINE GOMES

Original Issue Date

11/22/1994

Effective Date

08/04/2024

Expiration Date

09/30/2026

City

DU QUOIN

State

Zip

62832

Ever Disciplined

LastModifiedDate

08/04/2024