CA Wall License 2466 Information
Name | Kelly Mc Conville |
License Number | 2466 |
Individual or Organization | O |
Address | 12709 Poway Road #205
Poway, CA 92064 |
County | San Diego |
License Status | Active |
License Original Issue Date | 9/11/1996 |
License Expiration Date | 3/31/2024 |
License Type | Wall License |
Agency | Acupuncture Board |