Colorado
Division of Professions and Occupations
Jacke Khantivong
Occupational Therapy - Occupational Therapist
License number
2191
Date granted
01/01/2009
Date expires
01/31/2015
Class
Occupational Therapy - Occupational Therapist
Status
Active
Address
2460 W Caithness Pl Apt 203, Denver, CO, 80211-3770
coloradolicensing.org
ID 28188473
LAST UPDATED 2026-05-15 03:41:28 UTC
LAST UPDATED 2026-05-15 03:41:28 UTC
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