License holder summary

KELLY ANNE FONVILLE is a Temporary Occupational Therapist licensed to practice in Pennsylvania. The address on file for KELLY ANNE FONVILLE is Winchester VA 22601. This licensed professional license is not current. The license was granted 01/29/2003 and expired on 01/29/2004.

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 2024-05-01 01:24:16 UTC

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