License holder summary

AMY MARIE HAYCISAK is a Temporary Occupational Therapist licensed to practice in Pennsylvania. The address on file for AMY MARIE HAYCISAK is Nanty Glo PA 15943. This licensed professional license is not current. The license was granted 05/18/2006 and expired on 05/18/2007.

Pennsylvania

Department of State

AMY MARIE HAYCISAK
Temporary Occupational Therapist
License number
TOC101173
Date granted
05/18/2006
Date expires
05/18/2007
Class
Temporary Occupational Therapist
Status
Voided
Address
Nanty Glo PA 15943
palicensing.org
ID 16937032
LAST UPDATED 2026-05-09 23:38:45 UTC

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