CA Wall License 911 Information
Name | Mary Manning |
License Number | 911 |
Individual or Organization | O |
Address | 20 S. Santa Cruz Ave Suite 312
Los Gatos, CA 95030 |
County | Santa Clara |
License Status | Delinquent |
License Original Issue Date | 7/22/2021 |
License Expiration Date | 4/30/2022 |
License Type | Wall License |
Agency | Acupuncture Board |