License holder summary

PROVENCIO DORA OFELIA is a Speech Language Pathology & Audiology - Licensees licensed to practice in California. The address on file for PROVENCIO DORA OFELIA is SQUAW VALLEY. This licensed professional license is current. The license was granted 06/17/1993 and expired on 09/30/2016.

California

Department of Consumer Affairs

PROVENCIO DORA OFELIA
Speech Language Pathology & Audiology - Licensees
License number
8793
Date granted
06/17/1993
Date expires
09/30/2016
Class
Speech Language Pathology & Audiology - Licensees
Status
Valid
Address
SQUAW VALLEY
californialicensing.org
ID 30983258
LAST UPDATED 2026-05-27 11:09:39 UTC

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