Idaho
Division of Occupational and Professional Licenses
Forrest Dean Hammeren
State Occupational Therapy Licensure Board - Occupational Therapist
License number
OT - 688
Date granted
04/15/2004
Date expires
06/26/2017
Class
State Occupational Therapy Licensure Board - Occupational Therapist
Status
Current
Address
EMMETT ID 83617
idaholicensing.com
ID 43728636
LAST UPDATED 2024-04-07 20:35:55 UTC
LAST UPDATED 2024-04-07 20:35:55 UTC
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