KATELYN FORTHMAN Occupational Therapist License verification

Business Entity

ACTIVE

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPY ASSISTANT

License Number

057006180

License Status

ACTIVE

Business

First Name

KATELYN

Last Name

FORTHMAN

Business Name

KATELYN FORTHMAN

Original Issue Date

10/22/2024

Effective Date

10/22/2024

Expiration Date

12/31/2025

City

BROOKPORT

State

Zip

62910

County

POPE

Ever Disciplined

LastModifiedDate

10/02/2025