CA Wall License 170 Information
Name | Christian Iwanicki |
License Number | 170 |
Individual or Organization | O |
Address | 805 North Lincoln Suite A
Dixon, CA 95620 |
County | Solano |
License Status | Active |
License Original Issue Date | 3/1/2021 |
License Expiration Date | 1/31/2023 |
License Type | Wall License |
Agency | Acupuncture Board |