CA Wall License 2308

CA Wall License 2308 Information

Name Ilene Cristdahl
License Number2308
Individual or OrganizationO
Address101 Providence Mine Road, Suite 104
Nevada City, CA 95959
CountyNevada
License StatusActive
License Original Issue Date10/23/1984
License Expiration Date1/31/2024
License TypeWall License
AgencyAcupuncture Board