License holder summary

KELLI N RUSSUM is a Occupational Therapy Assistant licensed to practice in Pennsylvania. The address on file for KELLI N RUSSUM is Gordonville PA 17529. This licensed professional license is current. The license was granted 06/19/2013 and expired on 06/30/2015.

Pennsylvania

Department of State

KELLI N RUSSUM
Occupational Therapy Assistant
License number
OP007625
Date granted
06/19/2013
Date expires
06/30/2015
Class
Occupational Therapy Assistant
Status
Active
Address
Gordonville PA 17529
palicensing.org
ID 16933497
LAST UPDATED 2024-04-30 20:26:54 UTC

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