License holder summary

VICKI DIANE FORTIN is a Occupational Therapist & Assistant - Occupational Therapy Assistant licensed to practice in Michigan. The address on file for VICKI DIANE FORTIN is Clarkston, MI 48348. This licensed professional license is current. The license was granted 08/02/1996 and expired on 05/31/2015.

Michigan

Department of Licensing and Regulation

VICKI DIANE FORTIN
Occupational Therapist & Assistant - Occupational Therapy Assistant
License number
5202003404
Date granted
08/02/1996
Date expires
05/31/2015
Class
Occupational Therapist & Assistant - Occupational Therapy Assistant
Status
Active
Address
Clarkston, MI 48348
michiganlicensing.org
ID 25875729
LAST UPDATED 2024-04-09 09:18:43 UTC

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