CA Wall License 3057 Information
Name | Domenick Barbo |
License Number | 3057 |
Individual or Organization | O |
Address | 1739 Shell Beach Rd
Pismo Beach, CA 93449 |
County | San Luis Obispo |
License Status | Active |
License Original Issue Date | 6/7/2022 |
License Expiration Date | 9/30/2023 |
License Type | Wall License |
Agency | Acupuncture Board |