JACALYNN MARIE SURMA Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056013212

License Status

NOT RENEWED

Business

First Name

JACALYNN

Middle

MARIE

Last Name

SURMA

Business Name

JACALYNN MARIE SURMA

Original Issue Date

09/05/2019

Effective Date

11/18/2019

Expiration Date

01/31/2022

City

CINCINNATI

State

Zip

45208

Ever Disciplined

LastModifiedDate

05/18/2022