CA Wall License 3850

CA Wall License 3850 Information

Name Derek Doss
License Number3850
Individual or OrganizationO
Address876 Gravenstein Highway South, #7
Sebastopol, CA 95472
CountySonoma
License StatusActive
License Original Issue Date10/22/2022
License Expiration Date10/31/2024
License TypeWall License
AgencyAcupuncture Board