Kimberly Formby
ExpiredCalifornia license 20193
License
- Licensed by
- California Board of Occupational Therapy
- License number
- 20193
- Status
- Expired (Delinquent)
- First issued
- July 8, 2019
- Expired
- January 31, 2023
- License holder
- Kimberly Formby
- Entity type
- Individual
Classifications
- Occupational Therapist Therapy & Rehabilitation
More from the license record
- License type code
- 7101
Contact
96 Dyers Bay Road
Steuben, ME 04680
Steuben, ME 04680