CA Wall License 1012 Information
Name | Diane Silva |
License Number | 1012 |
Individual or Organization | O |
Address | 516 Sebastopol Avenue
Santa Rosa, CA 95401 |
County | Sonoma |
License Status | Active |
License Original Issue Date | 7/17/1996 |
License Expiration Date | 7/31/2023 |
License Type | Wall License |
Agency | Acupuncture Board |