CA Wall License 1727 Information
Name | Laurie Martin |
License Number | 1727 |
Individual or Organization | O |
Address | 3559 Round Barn Blvd
Santa Rosa, CA 95425 |
County | Sonoma |
License Status | Active |
License Original Issue Date | 10/31/2021 |
License Expiration Date | 3/31/2024 |
License Type | Wall License |
Agency | Acupuncture Board |