Theresa Southworth
ExpiredCalifornia license 19743
License
- Licensed by
- California Board of Occupational Therapy
- License number
- 19743
- Status
- Expired (Delinquent)
- First issued
- March 4, 2019
- Expired
- June 30, 2023
- License holder
- Theresa Southworth
- Entity type
- Individual
Classifications
- Occupational Therapist Therapy & Rehabilitation
More from the license record
- License type code
- 7101
Contact
5456 Washburn Rd
Goodrich, MI 48438
Goodrich, MI 48438
Genesee County