License Directory

Theresa Southworth

Expired

California 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

More from the license record

License type code
7101

Contact

5456 Washburn Rd
Goodrich, MI 48438
Genesee County