CA Wall License 2867 Information
Name | Michael Mcculloch |
License Number | 2867 |
Individual or Organization | O |
Address | 124 Pine Street
San Anselmo, CA 94960 |
County | Marin |
License Status | Active |
License Original Issue Date | 5/2/2022 |
License Expiration Date | 4/30/2024 |
License Type | Wall License |
Agency | Acupuncture Board |