License holder summary

IMMY M MOUSTAFA is a Occupational Therapist licensed to practice in Pennsylvania. The address on file for IMMY M MOUSTAFA is STROUDSBURG PA 18360. This licensed professional license is current. The license was granted 04/04/2002 and expired on 06/30/2015.

Pennsylvania

Department of State

IMMY M MOUSTAFA
Occupational Therapist
License number
OC008443
Date granted
04/04/2002
Date expires
06/30/2015
Class
Occupational Therapist
Status
Active
Address
STROUDSBURG PA 18360
palicensing.org
ID 16927958
LAST UPDATED 2024-03-08 13:00:53 UTC

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