CA Wall License 2629

CA Wall License 2629 Information

Name Kenneth Kowaleski
License Number2629
Individual or OrganizationO
Address4962 Robert J Mathews Parkway
Suite H
El Dorado Hills, CA 95762
CountyEl Dorado
License StatusActive
License Original Issue Date12/5/2018
License Expiration Date2/29/2024
License TypeWall License
AgencyAcupuncture Board