CA Wall License 1645 Information
Name | Heather Reagan |
License Number | 1645 |
Individual or Organization | O |
Address | 540 Plaza Dr. Ste. 110
Folsom, CA 95630 |
County | Sacramento |
License Status | Delinquent |
License Original Issue Date | 4/27/2020 |
License Expiration Date | 11/30/2021 |
License Type | Wall License |
Agency | Acupuncture Board |