CA Wall License 397 Information
Name | Sam Wisotsky |
License Number | 397 |
Individual or Organization | O |
Address | 8555 Aero Drive #107
San Diego, CA 92123 |
County | San Diego |
License Status | Active |
License Original Issue Date | 4/17/2021 |
License Expiration Date | 9/30/2024 |
License Type | Wall License |
Agency | Acupuncture Board |