NATASHA PAULINA GOMEZ VIOLETA Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070021212

License Status

ACTIVE

Business

First Name

NATASHA

Middle

PAULINA GOMEZ

Last Name

VIOLETA

Business Name

NATASHA PAULINA GOMEZ VIOLETA

Original Issue Date

12/04/2014

Effective Date

08/04/2024

Expiration Date

09/30/2026

City

ALTON

State

Zip

62002

Ever Disciplined

LastModifiedDate

08/04/2024