Ellie Ann Clark
ExpiredCalifornia license 20541
License
- Licensed by
- California Board of Occupational Therapy
- License number
- 20541
- Status
- Expired (Delinquent)
- First issued
- October 17, 2019
- Expired
- December 31, 2024
- License holder
- Ellie Ann Clark
- Entity type
- Individual
Classifications
- Occupational Therapist Therapy & Rehabilitation
More from the license record
- License type code
- 7101
Contact
109 River St
Hastings, MN 55033-1139
Hastings, MN 55033-1139