CA Wall License 2097 Information
| Name | Susan Shane |
| License Number | 2097 |
| Individual or Organization | O |
| Address | 17530 Via Del Bravo
Rancho Santa Fe, CA 92067 |
| County | San Diego |
| License Status | Active |
| License Original Issue Date | 9/6/1994 |
| License Expiration Date | 2/29/2024 |
| License Type | Wall License |
| Agency | Acupuncture Board |