CA Wall License 2922 Information
Name | Ingrid Peterson |
License Number | 2922 |
Individual or Organization | O |
Address | 3725 Grand Avenue
Oakland, CA 94610 |
County | Alameda |
License Status | Active |
License Original Issue Date | 5/23/2012 |
License Expiration Date | 4/30/2024 |
License Type | Wall License |
Agency | Acupuncture Board |