CA Wall License 3871 Information
Name | Kim Vandeveer |
License Number | 3871 |
Individual or Organization | O |
Address | 822 College Avenue #b
Santa Rosa, CA 95409 |
County | Sonoma |
License Status | Active |
License Original Issue Date | 3/25/2011 |
License Expiration Date | 10/31/2024 |
License Type | Wall License |
Agency | Acupuncture Board |