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 |