CA Wall License 1692 Information
Name | Henriette Lenssen |
License Number | 1692 |
Individual or Organization | O |
Address | 2550 Shattuck
Berkeley, CA 94704 |
County | Alameda |
License Status | Active |
License Original Issue Date | 9/24/2012 |
License Expiration Date | 10/31/2023 |
License Type | Wall License |
Agency | Acupuncture Board |