Elisa Dali Fuentes
ExpiredCalifornia license 25236
License
- Licensed by
- California Board of Occupational Therapy
- License number
- 25236
- Status
- Expired (Delinquent)
- First issued
- July 14, 2023
- Expired
- June 30, 2026
- License holder
- Elisa Dali Fuentes
- Entity type
- Individual
Classifications
- Occupational Therapist Therapy & Rehabilitation
More from the license record
- License type code
- 7101
Contact
4033 Hartland St
Charleston, SC 29414-6095
Charleston, SC 29414-6095
Charleston County