CA Wall License 753 Information
| Name | Lanelle Durst |
| License Number | 753 |
| Individual or Organization | O |
| Address | 1815 Hamilton Ave
San Jose, CA 95125 |
| County | Santa Clara |
| License Status | Active |
| License Original Issue Date | 6/30/2021 |
| License Expiration Date | 7/31/2023 |
| License Type | Wall License |
| Agency | Acupuncture Board |