JENNELL MAIRE MUNDORF - Occupational Therapist License in California | # 056014188

JENNELL MAIRE MUNDORF

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056014188

License Status

NOT RENEWED

Business

N

First Name

JENNELL

Middle

MAIRE

Last Name

MUNDORF

Business Name

JENNELL MAIRE MUNDORF

Original Issue Date

05/14/2021

Effective Date

05/14/2021

Expiration Date

01/31/2022

State

CA

Ever Disciplined

N

LastModifiedDate

05/18/2022