ELLIS RAY SUMMA Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057005483

License Status

NOT RENEWED

Business

First Name

ELLIS

Middle

RAY

Last Name

SUMMA

Business Name

ELLIS RAY SUMMA

Original Issue Date

10/02/2020

Effective Date

10/02/2020

Expiration Date

01/31/2022

City

JACKSONVILLE

State

Zip

32205

Ever Disciplined

LastModifiedDate

05/18/2022