Jacquelyn Renae Wilson
ExpiredCalifornia license 5857
License
- Licensed by
- California Board of Occupational Therapy
- License number
- 5857
- Status
- Expired (Delinquent)
- First issued
- December 1, 2021
- Expired
- December 31, 2023
- License holder
- Jacquelyn Renae Wilson
- Entity type
- Individual
Classifications
- Occupational Therapy Assistant Therapy & Rehabilitation
More from the license record
- License type code
- 7103
Contact
4833 W 118th Pl
Hawthorne, CA 90250-2702
Hawthorne, CA 90250-2702
Los Angeles County