CA Wall License 1125 Information
Name | Heather Shields |
License Number | 1125 |
Individual or Organization | O |
Address | 99 Montecillo Road
San Rafael, CA 94903 |
County | Marin |
License Status | Active |
License Original Issue Date | 9/15/2011 |
License Expiration Date | 5/31/2023 |
License Type | Wall License |
Agency | Acupuncture Board |