CA Wall License 2907 Information
Name | Diane Peck |
License Number | 2907 |
Individual or Organization | O |
Address | 104 N School St Ste 315
Lodi, CA 95240 |
County | San Joaquin |
License Status | Active |
License Original Issue Date | 5/10/2022 |
License Expiration Date | 5/31/2024 |
License Type | Wall License |
Agency | Acupuncture Board |