CA Wall License 2466

CA Wall License 2466 Information

Name Kelly Mc Conville
License Number2466
Individual or OrganizationO
Address12709 Poway Road #205
Poway, CA 92064
CountySan Diego
License StatusActive
License Original Issue Date9/11/1996
License Expiration Date3/31/2024
License TypeWall License
AgencyAcupuncture Board