CA Wall License 1397 Information
Name | Gregory Lane |
License Number | 1397 |
Individual or Organization | O |
Address | 162 S Rancho Santa Fe Road, #a30
Encinitas, CA 92024 |
County | San Diego |
License Status | Active |
License Original Issue Date | 9/7/1994 |
License Expiration Date | 7/31/2024 |
License Type | Wall License |
Agency | Acupuncture Board |