CA Wall License 432 Information
Name | Michael Mark |
License Number | 432 |
Individual or Organization | O |
Address | 13655 Foothill Blvd Ste 1038
Fontana, CA 92355 |
County | San Bernardino |
License Status | Active |
License Original Issue Date | 4/29/2016 |
License Expiration Date | 5/31/2023 |
License Type | Wall License |
Agency | Acupuncture Board |