CA Wall License 650 Information
Name | Charles Goodwin |
License Number | 650 |
Individual or Organization | O |
Address | 111 Dakota Ave. Ste 2
Santa Cruz, CA 95060 |
County | Santa Cruz |
License Status | Active |
License Original Issue Date | 10/5/1999 |
License Expiration Date | 4/30/2023 |
License Type | Wall License |
Agency | Acupuncture Board |