CA Wall License 432

CA Wall License 432 Information

Name Michael Mark
License Number432
Individual or OrganizationO
Address13655 Foothill Blvd Ste 1038
Fontana, CA 92355
CountySan Bernardino
License StatusActive
License Original Issue Date4/29/2016
License Expiration Date5/31/2023
License TypeWall License
AgencyAcupuncture Board