Elisa Victoria Jiang
ExpiredCalifornia license 19112
License
- Licensed by
- California Board of Occupational Therapy
- License number
- 19112
- Status
- Expired (Delinquent)
- First issued
- August 17, 2018
- Expired
- June 30, 2025
- License holder
- Elisa Victoria Jiang
- Entity type
- Individual
Classifications
- Occupational Therapist Therapy & Rehabilitation
More from the license record
- License type code
- 7101
Contact
22792 Rumble Dr
Lake Forest, CA 92630-4136
Lake Forest, CA 92630-4136
Orange County