CA Wall License 3155 Information
Name | William Bastian |
License Number | 3155 |
Individual or Organization | O |
Address | 1775 E Palm Canyon
Palm Springs, CA 92264 |
County | Riverside |
License Status | Active |
License Original Issue Date | 10/7/2014 |
License Expiration Date | 4/30/2024 |
License Type | Wall License |
Agency | Acupuncture Board |