CA Wall License 3047 Information
Name | Greta Goforth |
License Number | 3047 |
Individual or Organization | O |
Address | 187 Calle Magdalena Ste.214 Encinitas, CA 92024 |
County | San Diego |
License Status | Active |
License Original Issue Date | 6/6/2022 |
License Expiration Date | 9/30/2023 |
License Type | Wall License |
Agency | Acupuncture Board |