CA Wall License 861 Information
Name | Shannon Pannell |
License Number | 861 |
Individual or Organization | O |
Address | 25115 Madison Ave.
Murrieta, CA 92562 |
County | Riverside |
License Status | Active |
License Original Issue Date | 7/16/2021 |
License Expiration Date | 8/31/2023 |
License Type | Wall License |
Agency | Acupuncture Board |