CA Licensed Acupuncturist 18175

CA Licensed Acupuncturist 18175 Information

NameJames Fisher Van Kennen
License Number18175
Individual or OrganizationI
Address155 Mill Road
Santa Cruz, CA 95060
CountySanta Cruz
License StatusDelinquent
License Original Issue Date6/4/2018
License Expiration Date4/30/2022
License TypeLicensed Acupuncturist
AgencyAcupuncture Board
SchoolFive Branches Institute