License holder summary

MARY ELIZABETH BROUSSARD is a Occupational Therapist licensed to practice in Pennsylvania. The address on file for MARY ELIZABETH BROUSSARD is PRAIRIEVILLE LA 70769. This licensed professional license is not current. The license was granted 11/01/1996 and expired on 06/30/1997.

Pennsylvania

Department of State

MARY ELIZABETH BROUSSARD
Occupational Therapist
License number
OC005022L
Date granted
11/01/1996
Date expires
06/30/1997
Class
Occupational Therapist
Status
Expired
Address
PRAIRIEVILLE LA 70769
palicensing.org
ID 16925159
LAST UPDATED 2024-05-25 16:20:24 UTC

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