Anastasia Fe Daravong
ExpiredCalifornia license 2660
License
- Licensed by
- California Board of Occupational Therapy
- License number
- 2660
- Status
- Expired (Delinquent)
- First issued
- September 17, 2013
- Expired
- January 31, 2022
- License holder
- Anastasia Fe Daravong
- Entity type
- Individual
Classifications
- Occupational Therapy Assistant Therapy & Rehabilitation
More from the license record
- License type code
- 7103
Other California licenses under this name
-
CA
ActiveSan Diego, CAExpires Jan 31, 2028
Contact
6815 Simi Pl
San Diego, CA 92139
San Diego, CA 92139
San Diego County