CA Wall License 182 Information
Name | Tymothy Smith |
License Number | 182 |
Individual or Organization | O |
Address | 101 West Coast Rd.
Redway, CA 95560 |
County | Humboldt |
License Status | Active |
License Original Issue Date | 3/3/2021 |
License Expiration Date | 4/30/2023 |
License Type | Wall License |
Agency | Acupuncture Board |