CA Wall License 2853 Information
Name | Brielle Kelly |
License Number | 2853 |
Individual or Organization | O |
Address | 1336 El Camino Real
San Carlos, CA 94070 |
County | San Mateo |
License Status | Active |
License Original Issue Date | 1/18/2007 |
License Expiration Date | 5/31/2024 |
License Type | Wall License |
Agency | Acupuncture Board |