CA Wall License 717

CA Wall License 717 Information

Name Donna Call
License Number717
Individual or OrganizationO
Address18300 Old Coast Hwy
Ste 3
Fort Bragg, CA 95437
CountyMendocino
License StatusDelinquent
License Original Issue Date6/20/2021
License Expiration Date10/31/2021
License TypeWall License
AgencyAcupuncture Board