CA Wall License 1004 Information
Name | Melanie Worthy |
License Number | 1004 |
Individual or Organization | O |
Address | 260 Sheridan Avenue, B40
Palo Alto, CA 94306 |
County | Santa Clara |
License Status | Active |
License Original Issue Date | 4/13/2015 |
License Expiration Date | 2/28/2023 |
License Type | Wall License |
Agency | Acupuncture Board |