CA Wall License 2238 Information
Name | Kelly Stock |
License Number | 2238 |
Individual or Organization | O |
Address | 3744 Mt Diablo Blvd
Lafayette, CA 94549 |
County | Contra Costa |
License Status | Active |
License Original Issue Date | 5/6/2016 |
License Expiration Date | 1/31/2024 |
License Type | Wall License |
Agency | Acupuncture Board |