EMILY KATHLEEN FORTHOFER Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056014933

License Status

NOT RENEWED

Business

First Name

EMILY

Middle

KATHLEEN

Last Name

FORTHOFER

Business Name

EMILY KATHLEEN FORTHOFER

Original Issue Date

06/22/2022

Effective Date

06/22/2022

Expiration Date

12/31/2023

City

MAYFIELD

State

Zip

42066

Ever Disciplined

LastModifiedDate

03/28/2024