CA Wall License 593 Information
Name | Tobe Stacey |
License Number | 593 |
Individual or Organization | O |
Address | 407 Potter St Suite D Fallbrook, CA 92028 |
County | San Diego |
License Status | Active |
License Original Issue Date | 5/27/2021 |
License Expiration Date | 6/30/2023 |
License Type | Wall License |
Agency | Acupuncture Board |