CA Wall License 1387

CA Wall License 1387 Information

Name Patty Jo Johnson
License Number1387
Individual or OrganizationO
Address8645 Haven Avenue, Suite 550
Rancho Cucamonga, CA 91730
CountySan Bernardino
License StatusActive
License Original Issue Date9/18/2001
License Expiration Date8/31/2023
License TypeWall License
AgencyAcupuncture Board