CA Wall License 1175 Information
| Name | Coreen Lamark |
| License Number | 1175 |
| Individual or Organization | O |
| Address | 1097 East Main Street, Unit A
Grass Valley, CA 95945 |
| County | Nevada |
| License Status | Active |
| License Original Issue Date | 4/2/2012 |
| License Expiration Date | 6/30/2023 |
| License Type | Wall License |
| Agency | Acupuncture Board |