Carol B Wallace
ExpiredCalifornia license 3757
License
- Licensed by
- California Board of Occupational Therapy
- License number
- 3757
- Status
- Expired (Delinquent)
- First issued
- November 29, 2002
- Expired
- June 30, 2022
- License holder
- Carol B Wallace
- Entity type
- Individual
Classifications
- Occupational Therapist Therapy & Rehabilitation
More from the license record
- License type code
- 7101
Contact
16137 W Sandia Park Dr
Surprise, AZ 85374-6426
Surprise, AZ 85374-6426
Maricopa County