RANDY L GOMEZ Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070010248

License Status

NOT RENEWED

Business

First Name

RANDY L

Last Name

GOMEZ

Business Name

RANDY L GOMEZ

Original Issue Date

09/19/1997

Effective Date

09/19/1997

Expiration Date

09/30/1998

City

BINGHAM FARMS

State

Zip

48025

County

MICHIGAN

Ever Disciplined

LastModifiedDate

10/14/2005