Kelly Ryan Fogarty
ExpiredCalifornia license 4745
License
- Licensed by
- California Board of Occupational Therapy
- License number
- 4745
- Status
- Expired (Delinquent)
- First issued
- February 13, 2019
- Expired
- July 31, 2023
- License holder
- Kelly Ryan Fogarty
- Entity type
- Individual
Classifications
- Occupational Therapy Assistant Therapy & Rehabilitation
More from the license record
- License type code
- 7103
Contact
1502 Orange street
Melbourne Beach, FL 32951
Melbourne Beach, FL 32951
Brevard County