CA Wall License 584 Information
| Name | Susan Fox |
| License Number | 584 |
| Individual or Organization | O |
| Address | 655 Redwood Hwy Suite 200 Mill Valley, CA 94941 |
| County | Marin |
| License Status | Delinquent |
| License Original Issue Date | 5/25/2021 |
| License Expiration Date | 11/30/2021 |
| License Type | Wall License |
| Agency | Acupuncture Board |