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 |