CA Wall License 1225 Information
Name | Lisa Swanson |
License Number | 1225 |
Individual or Organization | O |
Address | 152 Mill Street #d
Grass Valley, CA 95945 |
County | Nevada |
License Status | Active |
License Original Issue Date | 5/5/2008 |
License Expiration Date | 7/31/2023 |
License Type | Wall License |
Agency | Acupuncture Board |