Tara Jean Waller
ExpiredCalifornia license 18203
License
- Licensed by
- California Board of Occupational Therapy
- License number
- 18203
- Status
- Expired (Delinquent)
- First issued
- November 22, 2017
- Expired
- May 31, 2023
- License holder
- Tara Jean Waller
- Entity type
- Individual
Classifications
- Occupational Therapist Therapy & Rehabilitation
More from the license record
- License type code
- 7101
Contact
117 Doyle St
Roseville, CA 95678-1822
Roseville, CA 95678-1822
Placer County