CA Wall License 1204 Information
Name | Molly Chaudoir |
License Number | 1204 |
Individual or Organization | O |
Address | 4170 Gross Road Ext, Ste 6
Capitola, CA 95010 |
County | Santa Cruz |
License Status | Active |
License Original Issue Date | 4/1/2014 |
License Expiration Date | 4/30/2023 |
License Type | Wall License |
Agency | Acupuncture Board |