Idaho
Division of Occupational and Professional Licenses
STEPHANIE A FORKE
State Occupational Therapy Licensure Board - Occupational Therapist
License number
OT - 997
Date granted
09/22/2010
Date expires
07/25/2013
Class
State Occupational Therapy Licensure Board - Occupational Therapist
Status
Not Current
Address
LEWISTOWN MT 59457
idaholicensing.com
ID 43728544
LAST UPDATED 2026-05-25 13:46:15 UTC
LAST UPDATED 2026-05-25 13:46:15 UTC
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