CA Wall License 1099 Information
Name | Riccardi Katie Scarlett |
License Number | 1099 |
Individual or Organization | O |
Address | 970 San Pablo Avenue
Albany, CA 94706 |
County | Alameda |
License Status | Active |
License Original Issue Date | 12/4/2020 |
License Expiration Date | 7/31/2024 |
License Type | Wall License |
Agency | Acupuncture Board |