CA Wall License 1423

CA Wall License 1423 Information

Name Kolin Durrant
License Number1423
Individual or OrganizationO
Address4501 Mission Bay Drive, Suite 2d
San Diego, CA 92109
CountySan Diego
License StatusActive
License Original Issue Date9/22/2021
License Expiration Date7/31/2024
License TypeWall License
AgencyAcupuncture Board