Samantha Forde
ExpiredCalifornia license 17433
License
- Licensed by
- California Board of Occupational Therapy
- License number
- 17433
- Status
- Expired (Delinquent)
- First issued
- April 25, 2017
- Expired
- March 31, 2022
- License holder
- Samantha Forde
- Entity type
- Individual
Classifications
- Occupational Therapist Therapy & Rehabilitation
More from the license record
- License type code
- 7101
Contact
14005 Palawan Way
Ph11
Marina Del Rey, CA 90292-6260
Ph11
Marina Del Rey, CA 90292-6260
Los Angeles County