License holder summary

WAYNE RICHARD DE FOREST is a Occupational Therapist licensed to practice in Indiana. The address on file for WAYNE RICHARD DE FOREST is Brazil IN 47834. This licensed professional license is not current. The license was granted 09/16/1994 and expired on 12/31/2002.

Indiana

Professional Licensing Agency

WAYNE RICHARD DE FOREST
Occupational Therapist
License number
31001456A
Date granted
09/16/1994
Date expires
12/31/2002
Class
Occupational Therapist
Status
Expired
Address
Brazil IN 47834
indianalicensing.org
ID 8277721
LAST UPDATED 2024-05-14 20:23:34 UTC

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