CA Wall License 2638 Information
Name | Amberlee Gustafson |
License Number | 2638 |
Individual or Organization | O |
Address | 320 River St
Santa Cruz, CA 95062 |
County | Santa Cruz |
License Status | Active |
License Original Issue Date | 3/23/2022 |
License Expiration Date | 7/31/2023 |
License Type | Wall License |
Agency | Acupuncture Board |