Summer Lyse Ennis
ExpiredCalifornia license 17007
License
- Licensed by
- California Board of Occupational Therapy
- License number
- 17007
- Status
- Expired (Delinquent)
- First issued
- December 21, 2016
- Expired
- August 31, 2023
- License holder
- Summer Lyse Ennis
- Entity type
- Individual
Classifications
- Occupational Therapist Therapy & Rehabilitation
More from the license record
- License type code
- 7101
Contact
1475 Plains Ave
Neenah, WI 54956-9690
Neenah, WI 54956-9690
Winnebago County