Susan Marissa Roman
ExpiredCalifornia license 7019
License
- Licensed by
- California Board of Occupational Therapy
- License number
- 7019
- Status
- Expired (Delinquent)
- First issued
- December 4, 2024
- Expired
- March 31, 2026
- License holder
- Susan Marissa Roman
- Entity type
- Individual
Classifications
- Occupational Therapy Assistant Therapy & Rehabilitation
More from the license record
- License type code
- 7103
Contact
4080 N Quail Dr
Golden Valley, AZ 86413-8043
Golden Valley, AZ 86413-8043
Mohave County