Jacquelyn Marie Clark
ExpiredCalifornia license 15187
License
- Licensed by
- California Board of Occupational Therapy
- License number
- 15187
- Status
- Expired (Delinquent)
- First issued
- April 9, 2015
- Expired
- October 31, 2021
- License holder
- Jacquelyn Marie Clark
- Entity type
- Individual
Classifications
- Occupational Therapist Therapy & Rehabilitation
More from the license record
- License type code
- 7101
Contact
67 E View Ct
Charles Town, WV 25414-5066
Charles Town, WV 25414-5066
Jefferson County