CA Wall License 2907

CA Wall License 2907 Information

Name Diane Peck
License Number2907
Individual or OrganizationO
Address104 N School St Ste 315
Lodi, CA 95240
CountySan Joaquin
License StatusActive
License Original Issue Date5/10/2022
License Expiration Date5/31/2024
License TypeWall License
AgencyAcupuncture Board