CA Wall License 1740 Information
Name | Penny Brewer |
License Number | 1740 |
Individual or Organization | O |
Address | 53035 Meriwether Way
La Quinta, CA 92253 |
County | Riverside |
License Status | Active |
License Original Issue Date | 11/3/2021 |
License Expiration Date | 7/31/2023 |
License Type | Wall License |
Agency | Acupuncture Board |