Felipe Modenese Bastos
ExpiredCalifornia license 20872
License
- Licensed by
- California Board of Occupational Therapy
- License number
- 20872
- Status
- Expired (Delinquent)
- First issued
- January 23, 2020
- Expired
- October 31, 2021
- License holder
- Felipe Modenese Bastos
- Entity type
- Individual
Classifications
- Occupational Therapist Therapy & Rehabilitation
More from the license record
- License type code
- 7101
Contact
3245 Rio Dr Apt 1009
Falls Church, VA 22041-2124
Falls Church, VA 22041-2124
Fairfax County