ELLEN MARIE FORMICA
Temporary Occupational Therapy Assistant
Pennsylvania OP002600L Inactive
This Pennsylvania license was held by ELLEN MARIE FORMICA. The license is no longer active. It was granted on 09/24/1997 and expired on 09/30/1998
LICENSE DETAILS
- License Number: OP002600L
- Category: Temporary Occupational Therapy Asst.
- Status: Inactive
- Date Granted: 09/24/1997 (almost 27 years ago)
- Expiry Date: 09/30/1998 (almost 26 years ago)
LOCATIONS
A Address
E STROUDSBURG PA 18301