Lisa Lynette Forsland
ExpiredCalifornia license 12924
License
- Licensed by
- California Board of Occupational Therapy
- License number
- 12924
- Status
- Expired (Delinquent)
- First issued
- August 30, 2012
- Expired
- May 31, 2025
- License holder
- Lisa Lynette Forsland
- Entity type
- Individual
Classifications
- Occupational Therapist Therapy & Rehabilitation
More from the license record
- License type code
- 7101
Contact
5266 Broken Lance Ct
San Jose, CA 95136
San Jose, CA 95136
Santa Clara County