License holder summary

Formanek, Kelly J is a Occupational Therapy Assistant licensed to practice in Missouri. The address on file for Formanek, Kelly J is 305 Buddy Lane , Mountain View 65548. This licensed professional license is current. The license was granted 10/16/2008 and expired on 06/30/2015.

Missouri

Division of Professional Registration

Formanek, Kelly J
Occupational Therapy Assistant
License number
2008031895  
Date granted
10/16/2008
Date expires
06/30/2015
Class
Occupational Therapy Assistant
Status
Clear
Address
305 Buddy Lane 
licensingmissouri.org
ID 5146395
LAST UPDATED 2026-06-11 04:36:48 UTC

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