DEBORAH ANNE SURFACE Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056008095

License Status

NOT RENEWED

Business

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

City

MICHIGAN CITY

State

Zip

46360

County

INDIANA

Ever Disciplined

LastModifiedDate

03/05/2020