Elizabeth Song Ae Black
ActiveCalifornia license 6245
License
- Licensed by
- California Board of Occupational Therapy
- License number
- 6245
- Status
- Active (Current)
- First issued
- February 6, 2003
- Expires
- August 31, 2027
- License holder
- Elizabeth Song Ae Black
- Entity type
- Individual
Classifications
- Occupational Therapist Therapy & Rehabilitation
More from the license record
- License type code
- 7101
Other California licenses under this name
-
CA
ActiveLaguna Beach, CAExpires Nov 30, 2029
Contact
945 Meadowlark Ln
Laguna Beach, CA 92651-2842
Laguna Beach, CA 92651-2842
Orange County