Nathan Josiah Wade Gibson
ExpiredCalifornia license 22615
License
- Licensed by
- California Board of Occupational Therapy
- License number
- 22615
- Status
- Expired (Delinquent)
- First issued
- July 20, 2021
- Expired
- March 31, 2023
- License holder
- Nathan Josiah Wade Gibson
- Entity type
- Individual
Classifications
- Occupational Therapist Therapy & Rehabilitation
More from the license record
- License type code
- 7101
Contact
17701 Avalon blvd spc 411
Carson, CA 90746
Carson, CA 90746