CA Wall License 2912 Information
Name | Johannes Schothorst |
License Number | 2912 |
Individual or Organization | O |
Address | 13252 Garden Grove Blvd #112
Garden Grove, CA 92843 |
County | Orange |
License Status | Active |
License Original Issue Date | 12/28/2010 |
License Expiration Date | 5/31/2024 |
License Type | Wall License |
Agency | Acupuncture Board |