CA Wall License 2429 Information
Name | Michelle Champion |
License Number | 2429 |
Individual or Organization | O |
Address | 925 Bevins Ct
Lakeport, CA 95453 |
County | Lake |
License Status | Active |
License Original Issue Date | 2/24/2022 |
License Expiration Date | 2/29/2024 |
License Type | Wall License |
Agency | Acupuncture Board |