Pennsylvania
Department of State
WAYNE R DEFOREST II
Occupational Therapist
License number
OC004236L
Date granted
02/14/1995
Date expires
06/30/1995
Class
Occupational Therapist
Status
Inactive
Address
WAVERLY NY 14892
palicensing.org
ID 16924484
LAST UPDATED 2024-04-27 15:57:00 UTC
LAST UPDATED 2024-04-27 15:57:00 UTC
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