License holder summary

FAWNE NICOLE BALLOS is a Temporary Occupational Therapist licensed to practice in Pennsylvania. The address on file for FAWNE NICOLE BALLOS is Hollsopple PA 15935. This licensed professional license is not current. The license was granted 05/19/2008 and expired on 05/19/2009.

Pennsylvania

Department of State

FAWNE NICOLE BALLOS
Temporary Occupational Therapist
License number
TOC101483
Date granted
05/19/2008
Date expires
05/19/2009
Class
Temporary Occupational Therapist
Status
Voided
Address
Hollsopple PA 15935
palicensing.org
ID 16937358
LAST UPDATED 2024-03-14 08:55:37 UTC

This website is unaffiliated with the Department of State. Please verify all information directly with the relevant official government authority.

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