CA Wall License 2372 Information
Name | Sophie Clark |
License Number | 2372 |
Individual or Organization | O |
Address | 29 Bolinas Road
Fairfax, CA 94930 |
County | Marin |
License Status | Active |
License Original Issue Date | 2/12/2022 |
License Expiration Date | 1/31/2024 |
License Type | Wall License |
Agency | Acupuncture Board |