Pennsylvania
Department of State
KELLY ANNE FONVILLE
Temporary Occupational Therapist
License number
TOC100490
Date granted
01/29/2003
Date expires
01/29/2004
Class
Temporary Occupational Therapist
Status
Voided
Address
Winchester VA 22601
palicensing.org
ID 16936363
LAST UPDATED 2026-04-22 15:37:45 UTC
LAST UPDATED 2026-04-22 15:37:45 UTC
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