CA Wall License 1189 Information
Name | Mary Morales |
License Number | 1189 |
Individual or Organization | O |
Address | 1337 Derby Street
Berkeley, CA 94702 |
County | Alameda |
License Status | Active |
License Original Issue Date | 7/17/2000 |
License Expiration Date | 7/31/2023 |
License Type | Wall License |
Agency | Acupuncture Board |