Lisa Marie Clark
ExpiredCalifornia license 12030
License
- Licensed by
- California Board of Occupational Therapy
- License number
- 12030
- Status
- Expired (Delinquent)
- First issued
- July 26, 2011
- Expired
- December 31, 2021
- License holder
- Lisa Marie Clark
- Entity type
- Individual
Classifications
- Occupational Therapist Therapy & Rehabilitation
More from the license record
- License type code
- 7101
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Contact
3675 Sinclair Shores Rd
Cumming, GA 30041-8986
Cumming, GA 30041-8986