Alessandra Provenzano Moothart
ExpiredCalifornia license 3945
License
- Licensed by
- California Board of Occupational Therapy
- License number
- 3945
- Status
- Expired (Delinquent)
- First issued
- May 17, 2017
- Expired
- September 30, 2023
- License holder
- Alessandra Provenzano Moothart
- 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
ActiveMission Viejo, CAExpires Sep 30, 2027
Contact
26535 Via Conchita
Mission Viejo, CA 92691-1947
Mission Viejo, CA 92691-1947
Orange County