Phyllis Lynne Pendergrast
ExpiredCalifornia license 476
License
- Licensed by
- California Board of Occupational Therapy
- License number
- 476
- Status
- Expired (Delinquent)
- First issued
- November 15, 2002
- Expired
- October 31, 2022
- License holder
- Phyllis Lynne Pendergrast
- Entity type
- Individual
Classifications
- Occupational Therapy Assistant Therapy & Rehabilitation
More from the license record
- License type code
- 7103
Contact
7708 W 11th Street Rd
Greeley, CO 80634-8862
Greeley, CO 80634-8862
Weld County