Emily V Polovick-Moulds
ExpiredCalifornia license 19385
License
- Licensed by
- California Board of Occupational Therapy
- License number
- 19385
- Status
- Expired (Delinquent)
- First issued
- October 30, 2018
- Expired
- January 31, 2023
- License holder
- Emily V Polovick-Moulds
- Entity type
- Individual
Classifications
- Occupational Therapist Therapy & Rehabilitation
More from the license record
- License type code
- 7101
Contact
53021 Poppy Rd Apt 17
South Bend, IN 46628-9238
South Bend, IN 46628-9238
St. Joseph County