KARLETTE R FORD Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057002017

License Status

ACTIVE

Business

First Name

KARLETTE

Middle

Last Name

FORD

Business Name

KARLETTE R FORD

Original Issue Date

05/18/2000

Effective Date

12/01/2023

Expiration Date

12/31/2025

City

MESA

State

Zip

85209

Ever Disciplined

LastModifiedDate

10/02/2025