CA Wall License 2519 Information
Name | Deborah Fowler |
License Number | 2519 |
Individual or Organization | O |
Address | 10597 Bragg Ave
Grass Valley, CA 95945 |
County | Nevada |
License Status | Active |
License Original Issue Date | 3/5/2022 |
License Expiration Date | 1/31/2024 |
License Type | Wall License |
Agency | Acupuncture Board |