Hanna Kaitlyn Wagner
ExpiredCalifornia license 21052
License
- Licensed by
- California Board of Occupational Therapy
- License number
- 21052
- Status
- Expired (Delinquent)
- First issued
- March 13, 2020
- Expired
- March 31, 2024
- License holder
- Hanna Kaitlyn Wagner
- Entity type
- Individual
Classifications
- Occupational Therapist Therapy & Rehabilitation
More from the license record
- License type code
- 7101
Contact
22872 Taurus Ln
Lake Forest, CA 92630-4929
Lake Forest, CA 92630-4929
Orange County