CA Wall License 717 Information
Name | Donna Call |
License Number | 717 |
Individual or Organization | O |
Address | 18300 Old Coast Hwy Ste 3 Fort Bragg, CA 95437 |
County | Mendocino |
License Status | Delinquent |
License Original Issue Date | 6/20/2021 |
License Expiration Date | 10/31/2021 |
License Type | Wall License |
Agency | Acupuncture Board |