CA Wall License 3342 Information
Name | Randall Gibson |
License Number | 3342 |
Individual or Organization | O |
Address | 208 Vintage Way, Suite K29
Novato, CA 94945 |
County | Marin |
License Status | Active |
License Original Issue Date | 9/1/1995 |
License Expiration Date | 6/30/2024 |
License Type | Wall License |
Agency | Acupuncture Board |