CA Wall License 1741

CA Wall License 1741 Information

Name Penny Brewer
License Number1741
Individual or OrganizationO
Address80-440 Hideaway Club Court
La Quinta, CA 92253
CountyRiverside
License StatusActive
License Original Issue Date11/3/2021
License Expiration Date7/31/2023
License TypeWall License
AgencyAcupuncture Board