License Directory

Kimberly Formby

Expired

California 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

More from the license record

License type code
7101

Contact

96 Dyers Bay Road
Steuben, ME 04680