License holder summary

ELLEN MARIE FORMICA is a Occupational Therapy Assistant licensed to practice in Pennsylvania. The address on file for ELLEN MARIE FORMICA is STROUDSBURG PA 18360. This licensed professional license is current. The license was granted 05/18/1998 and expired on 06/30/2015.

Pennsylvania

Department of State

ELLEN MARIE FORMICA
Occupational Therapy Assistant
License number
OP002600L
Date granted
05/18/1998
Date expires
06/30/2015
Class
Occupational Therapy Assistant
Status
Active
Address
STROUDSBURG PA 18360
palicensing.org
ID 16930561
LAST UPDATED 2024-03-13 18:25:05 UTC

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