CA Wall License 396

CA Wall License 396 Information

Name Dayne Grove
License Number396
Individual or OrganizationO
Address30897 Gateway Pl Ste F-4
Rancho Mission Viejo, CA 92694
CountyOrange
License StatusActive
License Original Issue Date4/16/2021
License Expiration Date4/30/2023
License TypeWall License
AgencyAcupuncture Board