CA Wall License 1387 Information
Name | Patty Jo Johnson |
License Number | 1387 |
Individual or Organization | O |
Address | 8645 Haven Avenue, Suite 550
Rancho Cucamonga, CA 91730 |
County | San Bernardino |
License Status | Active |
License Original Issue Date | 9/18/2001 |
License Expiration Date | 8/31/2023 |
License Type | Wall License |
Agency | Acupuncture Board |