Jordan Eden Lane
ExpiredCalifornia license 16528
License
- Licensed by
- California Board of Occupational Therapy
- License number
- 16528
- Status
- Expired (Delinquent)
- First issued
- July 30, 2016
- Expired
- October 31, 2022
- License holder
- Jordan Eden Lane
- Entity type
- Individual
Classifications
- Occupational Therapist Therapy & Rehabilitation
More from the license record
- License type code
- 7101
Contact
170 Turkeyfoot Ln
Stanford, KY 40484-7534
Stanford, KY 40484-7534
Lincoln County