CA Wall License 2759

CA Wall License 2759 Information

Name Timothy Moore
License Number2759
Individual or OrganizationO
Address5066 N Fresno Street, Ste 104
Fresno, CA 93710
CountyFresno
License StatusActive
License Original Issue Date7/9/1990
License Expiration Date3/31/2024
License TypeWall License
AgencyAcupuncture Board