Mirian P De Moura Souza
ExpiredCalifornia license 2865
License
- Licensed by
- California Board of Occupational Therapy
- License number
- 2865
- Status
- Expired (Delinquent)
- First issued
- May 20, 2014
- Expired
- November 30, 2022
- License holder
- Mirian P De Moura Souza
- Entity type
- Individual
Classifications
- Occupational Therapy Assistant Therapy & Rehabilitation
More from the license record
- License type code
- 7103
Contact
1208 Brook Dr
Allen, TX 75002-5083
Allen, TX 75002-5083
Collin County