Sidney Deatherage
ExpiredCalifornia license 6302
License
- Licensed by
- California Board of Occupational Therapy
- License number
- 6302
- Status
- Expired (Delinquent)
- First issued
- December 30, 2022
- Expired
- March 31, 2025
- License holder
- Sidney Deatherage
- Entity type
- Individual
Classifications
- Occupational Therapy Assistant Therapy & Rehabilitation
More from the license record
- License type code
- 7103
Contact
3844B Westside Rd
Twentynine Palms, CA 92277-9407
Twentynine Palms, CA 92277-9407