CA Wall License 3194 Information
Name | Amy Shouse |
License Number | 3194 |
Individual or Organization | O |
Address | 712 D Street Suite B1
San Rafael, CA 94901 |
County | Marin |
License Status | Active |
License Original Issue Date | 6/28/2022 |
License Expiration Date | 3/31/2023 |
License Type | Wall License |
Agency | Acupuncture Board |