CA Wall License 355 Information
Name | Patricia Jackson |
License Number | 355 |
Individual or Organization | O |
Address | 4754 Palm Ave
La Mesa, CA 91942 |
County | San Diego |
License Status | Active |
License Original Issue Date | 4/7/2021 |
License Expiration Date | 3/31/2023 |
License Type | Wall License |
Agency | Acupuncture Board |