License holder summary

WAYNE R DEFOREST II is a Occupational Therapist licensed to practice in Pennsylvania. The address on file for WAYNE R DEFOREST II is WAVERLY NY 14892. This licensed professional license is not current. The license was granted 02/14/1995 and expired on 06/30/1995.

Pennsylvania

Department of State

WAYNE R DEFOREST II
Occupational Therapist
License number
OC004236L
Date granted
02/14/1995
Date expires
06/30/1995
Class
Occupational Therapist
Status
Inactive
Address
WAVERLY NY 14892
palicensing.org
ID 16924484
LAST UPDATED 2024-04-02 05:50:44 UTC

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