Abdiel Isai Fuentes
ExpiredCalifornia license 21393
License
- Licensed by
- California Board of Occupational Therapy
- License number
- 21393
- Status
- Expired (Delinquent)
- First issued
- July 15, 2020
- Expired
- August 31, 2025
- License holder
- Abdiel Isai Fuentes
- Entity type
- Individual
Classifications
- Occupational Therapist Therapy & Rehabilitation
More from the license record
- License type code
- 7101
Contact
1261 N Newkirk St
Apt D
Philadelphia, PA 19121-5076
Apt D
Philadelphia, PA 19121-5076
Philadelphia County