CA Wall License 1712 Information
Name | Erin Prucha |
License Number | 1712 |
Individual or Organization | O |
Address | 2460 W 3rd Street, Ste 240
Santa Rosa, CA 95401 |
County | Sonoma |
License Status | Active |
License Original Issue Date | 1/8/2008 |
License Expiration Date | 10/31/2023 |
License Type | Wall License |
Agency | Acupuncture Board |