Samantha Kathryn Polak
ExpiredCalifornia license 21013
License
- Licensed by
- California Board of Occupational Therapy
- License number
- 21013
- Status
- Expired (Delinquent)
- First issued
- March 6, 2020
- Expired
- August 31, 2024
- License holder
- Samantha Kathryn Polak
- Entity type
- Individual
Classifications
- Occupational Therapist Therapy & Rehabilitation
More from the license record
- License type code
- 7101
Contact
213 Milford Rd
Neptune, NJ 07753-5835
Neptune, NJ 07753-5835
Monmouth County