License holder summary

KIMBERLY NICOLE TANISH is a Temporary Occupational Therapist licensed to practice in Pennsylvania. The address on file for KIMBERLY NICOLE TANISH is Nanty Glo PA 15943. This licensed professional license is not current. The license was granted 05/27/2009 and expired on 05/27/2010.

Pennsylvania

Department of State

KIMBERLY NICOLE TANISH
Temporary Occupational Therapist
License number
TOC101685
Date granted
05/27/2009
Date expires
05/27/2010
Class
Temporary Occupational Therapist
Status
Voided
Address
Nanty Glo PA 15943
palicensing.org
ID 16937577
LAST UPDATED 2024-02-21 07:14:50 UTC

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