CA Wall License 2853

CA Wall License 2853 Information

Name Brielle Kelly
License Number2853
Individual or OrganizationO
Address1336 El Camino Real
San Carlos, CA 94070
CountySan Mateo
License StatusActive
License Original Issue Date1/18/2007
License Expiration Date5/31/2024
License TypeWall License
AgencyAcupuncture Board