CA Wall License 1692

CA Wall License 1692 Information

Name Henriette Lenssen
License Number1692
Individual or OrganizationO
Address2550 Shattuck
Berkeley, CA 94704
CountyAlameda
License StatusActive
License Original Issue Date9/24/2012
License Expiration Date10/31/2023
License TypeWall License
AgencyAcupuncture Board