License holder summary

JENNIFER MARIE FORNWALT is a Occupational Therapist licensed to practice in Pennsylvania. The address on file for JENNIFER MARIE FORNWALT is JOHNSTOWN PA 15905. This licensed professional license is not current. The license was granted 06/01/2001 and expired on 06/30/2003.

Pennsylvania

Department of State

JENNIFER MARIE FORNWALT
Occupational Therapist
License number
OC007704L
Date granted
06/01/2001
Date expires
06/30/2003
Class
Occupational Therapist
Status
Expired
Address
JOHNSTOWN PA 15905
palicensing.org
ID 16927616
LAST UPDATED 2024-03-07 23:04:53 UTC

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