CA Wall License 1423 Information
Name | Kolin Durrant |
License Number | 1423 |
Individual or Organization | O |
Address | 4501 Mission Bay Drive, Suite 2d
San Diego, CA 92109 |
County | San Diego |
License Status | Active |
License Original Issue Date | 9/22/2021 |
License Expiration Date | 7/31/2024 |
License Type | Wall License |
Agency | Acupuncture Board |