California
Department of Consumer Affairs
PROVAN MARK DAVID
Occupational Therapists, Occupational Therapy Assistants
License number
5495
Date granted
01/03/2003
Date expires
09/30/2017
Class
Occupational Therapists, Occupational Therapy Assistants
Status
Clear
californialicensing.org
ID 11641184
LAST UPDATED 2026-04-21 18:09:27 UTC
LAST UPDATED 2026-04-21 18:09:27 UTC
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