Miles Grantmore DeWitt
ExpiredCalifornia license 23794
License
- Licensed by
- California Board of Occupational Therapy
- License number
- 23794
- Status
- Expired (Delinquent)
- First issued
- June 17, 2022
- Expired
- May 31, 2024
- License holder
- Miles Grantmore DeWitt
- Entity type
- Individual
Classifications
- Occupational Therapist Therapy & Rehabilitation
More from the license record
- License type code
- 7101
Contact
116 Saint Marks Dr
Stockbridge, GA 30281-1095
Stockbridge, GA 30281-1095