Jessica Macy Azzam
ExpiredCalifornia license 22055
License
- Licensed by
- California Board of Occupational Therapy
- License number
- 22055
- Status
- Expired (Delinquent)
- First issued
- January 21, 2021
- Expired
- April 30, 2024
- License holder
- Jessica Macy Azzam
- Entity type
- Individual
Classifications
- Occupational Therapist Therapy & Rehabilitation
More from the license record
- License type code
- 7101
Contact
8255 E Serene Ridge Ln
Anaheim, CA 92808-2531
Anaheim, CA 92808-2531