CA Wall License 1712

CA Wall License 1712 Information

Name Erin Prucha
License Number1712
Individual or OrganizationO
Address2460 W 3rd Street, Ste 240
Santa Rosa, CA 95401
CountySonoma
License StatusActive
License Original Issue Date1/8/2008
License Expiration Date10/31/2023
License TypeWall License
AgencyAcupuncture Board