Teresa Lee Goodwin
ExpiredCalifornia license 4219
License
- Licensed by
- California Board of Occupational Therapy
- License number
- 4219
- Status
- Expired (Delinquent)
- First issued
- December 8, 2017
- Expired
- October 31, 2021
- License holder
- Teresa Lee Goodwin
- Entity type
- Individual
Classifications
- Occupational Therapy Assistant Therapy & Rehabilitation
More from the license record
- License type code
- 7103
Contact
4317 Opal Ave Trlr 6
Pocatello, ID 83204-2168
Pocatello, ID 83204-2168
Idaho County