KELCY IRENE SUYDAM Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056008424

License Status

ACTIVE

Business

First Name

KELCY

Middle

IRENE

Last Name

SUYDAM

Business Name

KELCY IRENE SUYDAM

Original Issue Date

08/19/2008

Effective Date

12/02/2025

Expiration Date

12/31/2027

City

WASHINGTON

State

Zip

61571

County

TAZEWELL

Ever Disciplined

LastModifiedDate

12/02/2025