CA Wall License 1042

CA Wall License 1042 Information

Name Hawley Erika Analise Eddy
License Number1042
Individual or OrganizationO
Address317 S Main Street
Templeton, CA 93465
CountySan Luis Obispo
License StatusActive
License Original Issue Date9/19/2011
License Expiration Date1/31/2023
License TypeWall License
AgencyAcupuncture Board