Phongphan Inchai Roach
ExpiredCalifornia license 1899
License
- Licensed by
- California Board of Occupational Therapy
- License number
- 1899
- Status
- Expired (Delinquent)
- First issued
- April 24, 2009
- Expired
- April 30, 2025
- License holder
- Phongphan Inchai Roach
- Entity type
- Individual
Classifications
- Occupational Therapy Assistant Therapy & Rehabilitation
More from the license record
- License type code
- 7103
Contact
19021 SE Barus Dr
Jupiter, FL 33469-1603
Jupiter, FL 33469-1603
Palm Beach County