Nancy Carol Jack
ExpiredCalifornia license 6377
License
- Licensed by
- California Board of Occupational Therapy
- License number
- 6377
- Status
- Expired (Delinquent)
- First issued
- February 28, 2003
- Expired
- December 31, 2021
- License holder
- Nancy Carol Jack
- Entity type
- Individual
Classifications
- Occupational Therapist Therapy & Rehabilitation
More from the license record
- License type code
- 7101
Contact
955 W 19th St D-123
Costa Mesa, CA 92627
Costa Mesa, CA 92627
Orange County