Kelly Jean Evenson
ExpiredCalifornia license 4499
License
- Licensed by
- California Board of Occupational Therapy
- License number
- 4499
- Status
- Expired (Delinquent)
- First issued
- July 21, 2018
- Expired
- January 31, 2022
- License holder
- Kelly Jean Evenson
- Entity type
- Individual
Classifications
- Occupational Therapy Assistant Therapy & Rehabilitation
More from the license record
- License type code
- 7103
Contact
2930 W 4th St Apt 4
Appleton, WI 54914-4367
Appleton, WI 54914-4367
Outagamie County