CA Wall License 1720

CA Wall License 1720 Information

Name Jeff Smith
License Number1720
Individual or OrganizationO
Address56244 Papago Trl #5
Yucca Valley, CA 92284
CountySan Bernardino
License StatusActive
License Original Issue Date10/28/2021
License Expiration Date11/30/2023
License TypeWall License
AgencyAcupuncture Board