License Directory

Stanley N Widjaja

Active

California license 4547

License

Licensed by
California Board of Occupational Therapy
License number
4547
Status
Active (Current)
First issued
August 30, 2018
Expired
October 31, 2026
License holder
Stanley N Widjaja
Entity type
Individual

Classifications

More from the license record

License type code
7103

Contact

8625 Willow Dr
Rancho Cucamonga, CA 91730-4632
San Bernardino County