Online License Verification

4/18/2024 9:59:44 PM


Last Name :  Fairfield
First Name :  Kimberly J.
License # :  5114
Designation :  OT/L
License Issued On:   4/1/2003
License Expiration :  6/30/2024
Current Standing :  Good standing

Supervisees Information:

License
Name
City
Zip
Start
4598
April Midgette Crisp
Pinetown
27865
01/01/2020
10195
Meagan Knight Roberson
Hertford
27944
02/03/2020
4854
Jennifer Page
Williamston
27892
02/03/2020
4843
Kimberly Carter Hancock
La Grange
28551
05/25/2022
11013
Elizabeth Hartley Schadewald
New Bern
28560
01/01/2023

Physical Address
4140 ParkLake Ave,
Suite 100
Raleigh, NC 27612
phone

Office 919-832-1380