JEREMIAH DANIEL KLOTZ Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056011778

License Status

NOT RENEWED

Business

First Name

JEREMIAH

Middle

DANIEL

Last Name

KLOTZ

Business Name

JEREMIAH DANIEL KLOTZ

Original Issue Date

12/02/2016

Effective Date

01/02/2020

Expiration Date

01/31/2022

City

MADEIRA BEACH

State

Zip

33708

County

FLORIDA

Ever Disciplined

LastModifiedDate

05/18/2022