CA Wall License 2568 Information
Name | Vincent Koeller |
License Number | 2568 |
Individual or Organization | O |
Address | 6501 Palm Avenue
Huntington Beach, CA 92648 |
County | Orange |
License Status | Active |
License Original Issue Date | 9/7/2010 |
License Expiration Date | 11/30/2023 |
License Type | Wall License |
Agency | Acupuncture Board |