CA Wall License 1172 Information
Name | Brianna Eardley-Pryor |
License Number | 1172 |
Individual or Organization | O |
Address | 616 Petaluma Blvd N, Suite B
Petaluma, CA 94952 |
County | Sonoma |
License Status | Active |
License Original Issue Date | 12/19/2019 |
License Expiration Date | 8/31/2023 |
License Type | Wall License |
Agency | Acupuncture Board |