Fallon Wallace
ExpiredCalifornia license 4830
License
- Licensed by
- California Board of Occupational Therapy
- License number
- 4830
- Status
- Expired (Delinquent)
- First issued
- April 25, 2019
- Expired
- April 30, 2025
- License holder
- Fallon Wallace
- Entity type
- Individual
Classifications
- Occupational Therapy Assistant Therapy & Rehabilitation
More from the license record
- License type code
- 7103
Contact
301 MacArthur Blvd
Oakland, CA 94610
Oakland, CA 94610
Alameda County