CA Wall License 2308 Information
Name | Ilene Cristdahl |
License Number | 2308 |
Individual or Organization | O |
Address | 101 Providence Mine Road, Suite 104
Nevada City, CA 95959 |
County | Nevada |
License Status | Active |
License Original Issue Date | 10/23/1984 |
License Expiration Date | 1/31/2024 |
License Type | Wall License |
Agency | Acupuncture Board |