DEBORAH ANNE SURFACE - Occupational Therapist License in Indiana | # 056008095

DEBORAH ANNE SURFACE

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056008095

License Status

NOT RENEWED

Business

N

First Name

DEBORAH

Middle

ANNE

Last Name

SURFACE

Business Name

DEBORAH ANNE SURFACE

Original Issue Date

07/30/2007

Effective Date

12/26/2017

Expiration Date

12/31/2019

State

IN

Ever Disciplined

N

LastModifiedDate

03/05/2020