License holder summary

KOREY JOHNATHON LONG is a Temporary Occupational Therapist licensed to practice in Pennsylvania. The address on file for KOREY JOHNATHON LONG is South Fork PA 15956. This licensed professional license is not current. The license was granted 05/26/2004 and expired on 05/26/2005.

Pennsylvania

Department of State

KOREY JOHNATHON LONG
Temporary Occupational Therapist
License number
TOC100803
Date granted
05/26/2004
Date expires
05/26/2005
Class
Temporary Occupational Therapist
Status
Voided
Address
South Fork PA 15956
palicensing.org
ID 16936662
LAST UPDATED 2024-03-05 14:58:11 UTC

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