Pennsylvania
Department of State
JAIME ELIZABETH FAZZALORE
Occupational Therapy Assistant
License number
OP002620L
Date granted
05/19/1998
Date expires
06/30/2013
Class
Occupational Therapy Assistant
Status
Expired
Address
Keyser WV 26726
palicensing.org
ID 16930578
LAST UPDATED 2026-08-10 14:33:51 UTC
LAST UPDATED 2026-08-10 14:33:51 UTC
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