CA Wall License 574 Information
| Name | Annie Osborn |
| License Number | 574 |
| Individual or Organization | O |
| Address | 435 Petaluma Ave, Suite 120
Sebastopol, CA 95472 |
| County | Sonoma |
| License Status | Active |
| License Original Issue Date | 5/22/2021 |
| License Expiration Date | 5/31/2023 |
| License Type | Wall License |
| Agency | Acupuncture Board |