CA Wall License 3453

CA Wall License 3453 Information

Name Ermal Powell
License Number3453
Individual or OrganizationO
Address40 Crescente Ave #816
Bolinas, CA 94924
CountyMarin
License StatusActive
License Original Issue Date8/17/2022
License Expiration Date4/30/2024
License TypeWall License
AgencyAcupuncture Board