CA Wall License 1010 Information
Name | Mary Sullivan |
License Number | 1010 |
Individual or Organization | O |
Address | 34544 Road 274
North Fork, CA 93643 |
County | Madera |
License Status | Active |
License Original Issue Date | 11/6/1997 |
License Expiration Date | 5/31/2023 |
License Type | Wall License |
Agency | Acupuncture Board |