CA Wall License 1645

CA Wall License 1645 Information

Name Heather Reagan
License Number1645
Individual or OrganizationO
Address540 Plaza Dr. Ste. 110
Folsom, CA 95630
CountySacramento
License StatusDelinquent
License Original Issue Date4/27/2020
License Expiration Date11/30/2021
License TypeWall License
AgencyAcupuncture Board