Brock Kelly Buckner
ExpiredCalifornia license 17309
License
- Licensed by
- California Board of Occupational Therapy
- License number
- 17309
- Status
- Expired (Delinquent)
- First issued
- March 29, 2017
- Expired
- October 31, 2024
- License holder
- Brock Kelly Buckner
- Entity type
- Individual
Classifications
- Occupational Therapist Therapy & Rehabilitation
More from the license record
- License type code
- 7101
Contact
248 McKendree Ln
Myrtle Beach, SC 29579-6399
Myrtle Beach, SC 29579-6399
Horry County