Thadeus J Mixon
ExpiredCalifornia license 22519
License
- Licensed by
- California Board of Occupational Therapy
- License number
- 22519
- Status
- Expired (Delinquent)
- First issued
- June 25, 2021
- Expired
- February 28, 2026
- License holder
- Thadeus J Mixon
- Entity type
- Individual
Classifications
- Occupational Therapist Therapy & Rehabilitation
More from the license record
- License type code
- 7101
Contact
746 Oyster Point Drive
Reedville, VA 22539
Reedville, VA 22539
Northumberland County